| Lighthouse Psychological Services, Inc | |
|
2525 Camino Del Rio S Ste 315 San Diego CA 92108-3717 | |
| (619) 347-3457 | |
| (619) 584-5644 |
| Full Name | Lighthouse Psychological Services, Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2525 Camino Del Rio S, San Diego, California |
| Authorized Official Name and Position | Daniel Jenkins (PSYCHOLOGIST) |
| Authorized Official Contact | 6193473457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Psychological Services, Inc 2525 Camino Del Rio S Ste 315 San Diego CA 92108-3717 Ph: (619) 347-3457 | Lighthouse Psychological Services, Inc 2525 Camino Del Rio S Ste 315 San Diego CA 92108-3717 Ph: (619) 347-3457 |
| NPI Number | 1083758585 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 04/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083758585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY10627 (California) | Primary |
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