| Stephanie A Massey | |
|
12625 High Bluff Dr Ste 206 San Diego CA 92130-2053 | |
| (619) 654-4392 | |
| (619) 448-8954 |
| Full Name | Stephanie A Massey |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 12625 High Bluff Dr Ste 206, San Diego, California |
| Authorized Official Name and Position | Stephanie Ann Massey (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6196544392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie A Massey 9395 Harritt Rd Spc 261 Lakeside CA 92040-3536 Ph: (619) 654-4392 | Stephanie A Massey 12625 High Bluff Dr Ste 206 San Diego CA 92130-2053 Ph: (619) 654-4392 |
| NPI Number | 1093543423 |
|---|---|
| Provider Enumeration Date | 07/25/2024 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093543423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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