| Personal Evolution Psychotherapy | |
|
3737 Camino Del Rio S Ste. 302 San Diego CA 92108-4006 | |
| (619) 787-6676 | |
| (619) 516-3594 |
| Full Name | Personal Evolution Psychotherapy |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3737 Camino Del Rio S, San Diego, California |
| Authorized Official Name and Position | M. Sue Boyd (CLINICAL DIRECTOR/FOUNDER) |
| Authorized Official Contact | 6197876676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Evolution Psychotherapy 3737 Camino Del Rio S Ste. 302 San Diego CA 92108-4006 Ph: (619) 787-6676 | Personal Evolution Psychotherapy 3737 Camino Del Rio S Ste. 302 San Diego CA 92108-4006 Ph: (619) 787-6676 |
| NPI Number | 1356779482 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356779482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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