| San Diego Psychological & Edcuation | |
|
13525 Midland Rd., Suite J Poway CA 92064-4772 | |
| (619) 789-7173 | |
| Not Available |
| Full Name | San Diego Psychological & Edcuation |
|---|---|
| Speciality | Psychologist |
| Location | 13525 Midland Rd., Suite J, Poway, California |
| Authorized Official Name and Position | Cyrus Nakhshab (OWNER) |
| Authorized Official Contact | 6197897173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Psychological & Edcuation 13525 Midland Rd., Suite J Poway CA 92064-4772 Ph: (619) 789-7173 | San Diego Psychological & Edcuation 13525 Midland Rd., Suite J Poway CA 92064-4772 Ph: (619) 789-7173 |
| NPI Number | 1174847529 |
|---|---|
| Provider Enumeration Date | 03/15/2010 |
| Last Update Date | 03/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174847529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY15959 (California) | Primary |
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