| Soul Tide Psychotherapy | |
|
742 Santa Rita Pl San Diego CA 92109-5046 | |
| (858) 945-7421 | |
| Not Available |
| Full Name | Soul Tide Psychotherapy |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 742 Santa Rita Pl, San Diego, California |
| Authorized Official Name and Position | Trevor Olson (SECRETARY) |
| Authorized Official Contact | 8589457421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Tide Psychotherapy 742 Santa Rita Pl San Diego CA 92109-5046 Ph: (858) 945-7421 | Soul Tide Psychotherapy 742 Santa Rita Pl San Diego CA 92109-5046 Ph: (858) 945-7421 |
| NPI Number | 1528856531 |
|---|---|
| Provider Enumeration Date | 04/29/2025 |
| Last Update Date | 04/29/2025 |
| Certification Date | 04/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528856531 | NPI | - | NPPES |
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