| Lightspeed Psychology Professional Corporation | |
|
13728 Somerset Rd Poway CA 92064-4037 | |
| (949) 557-7083 | |
| Not Available |
| Full Name | Lightspeed Psychology Professional Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 13728 Somerset Rd, Poway, California |
| Authorized Official Name and Position | Ginger Burleson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9495577083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lightspeed Psychology Professional Corporation 14781 Pomerado Rd # 62 Poway CA 92064-2802 Ph: () - | Lightspeed Psychology Professional Corporation 13728 Somerset Rd Poway CA 92064-4037 Ph: (949) 557-7083 |
| NPI Number | 1558291724 |
|---|---|
| Provider Enumeration Date | 05/20/2026 |
| Last Update Date | 05/20/2026 |
| Certification Date | 05/20/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558291724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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