| Deisy Cristina Boscan, Ph.d. Psychologist, Professional Corporation | |
|
2870 4th Ave 101 San Diego CA 92103-6298 | |
| (619) 297-1750 | |
| (619) 297-0470 |
| Full Name | Deisy Cristina Boscan, Ph.d. Psychologist, Professional Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2870 4th Ave, San Diego, California |
| Authorized Official Name and Position | Deisy Cristina Boscan (PSYCHOLOGIST) |
| Authorized Official Contact | 6192971750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deisy Cristina Boscan, Ph.d. Psychologist, Professional Corporation 2870 4th Ave 101 San Diego CA 92103-6298 Ph: (619) 297-1750 | Deisy Cristina Boscan, Ph.d. Psychologist, Professional Corporation 2870 4th Ave 101 San Diego CA 92103-6298 Ph: (619) 297-1750 |
| NPI Number | 1386086478 |
|---|---|
| Provider Enumeration Date | 07/18/2013 |
| Last Update Date | 07/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386086478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PSY18873 (California) | Primary |
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