Dr Carolyn Quisenberry, PSYD is a
Psychologist - Clinical based in Poway, California. Dr Carolyn Quisenberry is licensed to practice in California (license number 29419) and her current practice location is
15525 Pomerado Rd Ste B3, Poway, California. She can be reached at her office (for appointments etc.) via phone at
(760) 607-6463.
NPI number for Dr Carolyn Quisenberry is 1255710893 and her current mailing address is 15525 Pomerado Rd Ste B3, Poway, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255710893.
Healthcare Provider's Profile
| Full Name | Dr Carolyn Quisenberry |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 15525 Pomerado Rd Ste B3, Poway, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255710893
- Provider Enumeration Date: 05/28/2015
- Last Update Date: 04/03/2018
Medical Identifiers
Medical identifiers for Dr Carolyn Quisenberry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255710893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 103TF0000X | Psychologist - Family | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 29419 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carolyn Quisenberry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Carolyn Quisenberry, PSYD
15525 Pomerado Rd Ste B3,
Poway, CA 92064-2425
Ph: (760) 607-6463 | Dr Carolyn Quisenberry, PSYD
15525 Pomerado Rd Ste B3,
Poway, CA 92064-2425
Ph: (760) 607-6463 |
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