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9606 Tierra Grande #201 San Diego CA 92126 | |
(619) 369-5050 | |
(877) 485-5961 |
Full Name | |
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Speciality | Psychologist |
Location | 9606 Tierra Grande #201, San Diego, California |
Authorized Official Name and Position | Sherry G Casper (OWNER) |
Authorized Official Contact | 6193695050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 421146 San Diego CA 92142 Ph: (619) 369-5050 | 9606 Tierra Grande #201 San Diego CA 92126 Ph: (619) 369-5050 |
NPI Number | 1548597438 |
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Provider Enumeration Date | 11/12/2009 |
Last Update Date | 03/30/2022 |
Certification Date | 03/30/2022 |
Medicare PECOS PAC ID | 4789096306 |
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Medicare Enrollment ID | O20201223000966 |
Identifier | Type | State | Issuer |
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1548597438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | PSY20550 (California) | Primary |
Provider Name | Sherry G Casper |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1255668455 PECOS PAC ID: 5698187219 Enrollment ID: I20201223001030 |
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