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5755 Oberlin Dr Ste 203 San Diego CA 92121-1786 | |
| (858) 362-5331 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 5755 Oberlin Dr Ste 203, San Diego, California |
| Authorized Official Name and Position | Judy D Lamb (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9452185800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2650 Fm 407 E Ste 145 Pmb 159 Bartonville TX 76226 Ph: (945) 218-5800 | 5755 Oberlin Dr Ste 203 San Diego CA 92121-1786 Ph: (858) 362-5331 |
| NPI Number | 1780492637 |
|---|---|
| Provider Enumeration Date | 12/24/2024 |
| Last Update Date | 01/02/2025 |
| Certification Date | 01/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780492637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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