Phobia And Anxiety Treatment Center | |
836 Prospect St Suite 101 La Jolla CA 92037-4213 | |
(858) 456-5065 | |
Not Available |
Full Name | Phobia And Anxiety Treatment Center |
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Speciality | Psychologist |
Location | 836 Prospect St, La Jolla, California |
Authorized Official Name and Position | Marjorie Foster Coburn (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 8584565065 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Phobia And Anxiety Treatment Center 836 Prospect St Suite 101 La Jolla CA 92037-4213 Ph: (858) 456-5065 | Phobia And Anxiety Treatment Center 836 Prospect St Suite 101 La Jolla CA 92037-4213 Ph: (858) 456-5065 |
NPI Number | 1639373491 |
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Provider Enumeration Date | 06/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1639373491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY8758 (California) | Primary |
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