Perception Dynamics Incorporated | |
828 Santa Inez Solana Beach CA 92075-1523 | |
(310) 903-6009 | |
Not Available |
Full Name | Perception Dynamics Incorporated |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 828 Santa Inez, Solana Beach, California |
Authorized Official Name and Position | Teri Lawton (CEO, OWNER) |
Authorized Official Contact | 3109036009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Perception Dynamics Incorporated Po Box 231305 Encinitas CA 92023-1305 Ph: (310) 903-6009 | Perception Dynamics Incorporated 828 Santa Inez Solana Beach CA 92075-1523 Ph: (310) 903-6009 |
NPI Number | 1679171573 |
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Provider Enumeration Date | 10/13/2020 |
Last Update Date | 10/13/2020 |
Certification Date | 10/13/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679171573 | NPI | - | NPPES |
14645900 | Other | CA | CAQH PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
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