| San Diego Health Psychology And Wellness | |
|
12625 High Bluff Dr Ste 201 San Diego CA 92130-2053 | |
| (858) 240-8400 | |
| (858) 429-0640 |
| Full Name | San Diego Health Psychology And Wellness |
|---|---|
| Speciality | Psychologist |
| Location | 12625 High Bluff Dr Ste 201, San Diego, California |
| Authorized Official Name and Position | A-lisa Shay Miles (CEO/FOUNDER) |
| Authorized Official Contact | 8582408400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Health Psychology And Wellness 12625 High Bluff Dr Ste 201 San Diego CA 92130-2053 Ph: (858) 240-8400 | San Diego Health Psychology And Wellness 12625 High Bluff Dr Ste 201 San Diego CA 92130-2053 Ph: (858) 240-8400 |
| NPI Number | 1487206850 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 07/15/2019 |
| Medicare PECOS PAC ID | 3476883745 |
|---|---|
| Medicare Enrollment ID | O20190930001669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487206850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | A-lisa Shay Miles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326468471 PECOS PAC ID: 7618215468 Enrollment ID: I20190220003039 |
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