| Beach Psychotherapy | |
|
1767 Grand Ave Ste 4 San Diego CA 92109-4400 | |
| (877) 293-8123 | |
| (858) 273-9410 |
| Full Name | Beach Psychotherapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1767 Grand Ave Ste 4, San Diego, California |
| Authorized Official Name and Position | Nicole Dockter (CO-DIRECTOR) |
| Authorized Official Contact | 6193185012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Psychotherapy 1767 Grand Ave Ste 4 San Diego CA 92109-4400 Ph: (877) 293-8123 | Beach Psychotherapy 1767 Grand Ave Ste 4 San Diego CA 92109-4400 Ph: (877) 293-8123 |
| NPI Number | 1104051804 |
|---|---|
| Provider Enumeration Date | 05/26/2009 |
| Last Update Date | 05/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104051804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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