| Dssc | |
|
9320 Chesapeake Dr Suite 214 San Diego CA 92123-1029 | |
| (858) 581-5053 | |
| (858) 274-0348 |
| Full Name | Dssc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9320 Chesapeake Dr, San Diego, California |
| Authorized Official Name and Position | Deborah G Mishek (OWNER) |
| Authorized Official Contact | 8585815053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dssc 9320 Chesapeake Dr Suite 214 San Diego CA 92123-1029 Ph: (858) 581-5053 | Dssc 9320 Chesapeake Dr Suite 214 San Diego CA 92123-1029 Ph: (858) 581-5053 |
| NPI Number | 1831318500 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831318500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY17217 (California) | Primary |
| 1041C0700X | Social Worker - Clinical | LCS22041 (California) | Primary |
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