San Diego Center For Neurofeedback | |
12064 Woodside Ave Ste 105 Lakeside CA 92040-2951 | |
(619) 448-1216 | |
Not Available |
Full Name | San Diego Center For Neurofeedback |
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Speciality | Psychologist - Clinical |
Location | 12064 Woodside Ave Ste 105, Lakeside, California |
Authorized Official Name and Position | Christiana Katarina Silva (PRESIDENT) |
Authorized Official Contact | 6194481216 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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San Diego Center For Neurofeedback 12064 Woodside Ave Ste 105 Lakeside CA 92040-2951 Ph: (619) 448-1216 | San Diego Center For Neurofeedback 12064 Woodside Ave Ste 105 Lakeside CA 92040-2951 Ph: (619) 448-1216 |
NPI Number | 1851731079 |
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Provider Enumeration Date | 07/02/2013 |
Last Update Date | 07/02/2013 |
Identifier | Type | State | Issuer |
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1851731079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY 21878 (California) | Primary |
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