Kula Wellness Psychological Corp | |
6455 La Jolla Blvd Unit 142 La Jolla CA 92037-6633 | |
(619) 800-8145 | |
Not Available |
Full Name | Kula Wellness Psychological Corp |
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Speciality | Psychologist |
Location | 6455 La Jolla Blvd Unit 142, La Jolla, California |
Authorized Official Name and Position | Jessica Taverniti (OWNER/CLINICIAN) |
Authorized Official Contact | 9376314059 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kula Wellness Psychological Corp 6455 La Jolla Blvd Unit 142 La Jolla CA 92037-6633 Ph: () - | Kula Wellness Psychological Corp 6455 La Jolla Blvd Unit 142 La Jolla CA 92037-6633 Ph: (619) 800-8145 |
NPI Number | 1184348906 |
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Provider Enumeration Date | 09/27/2022 |
Last Update Date | 09/27/2022 |
Certification Date | 09/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184348906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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