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SAN DIEGO THERAPY GROUP A PROFESSIONAL PSYCHOLOGY CORPORATION NPI 1235639733


NPI Information

NPI: 1235639733
Provider Name: SAN DIEGO THERAPY GROUP, A PROFESSIONAL PSYCHOLOGY CORPORATION

Doing Business As: SAN DIEGO THERAPY GROUP

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3760 CONVOY ST.
STE. 118
SAN DIEGO, CA
ZIP 92111
Phone: (619) 800-0821
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SAN DIEGO THERAPY GROUP, A PROFESSIONAL PSYCHOLOGY CORPORATION is a mental health counselor in San Diego, CA. SAN DIEGO THERAPY GROUP, A PROFESSIONAL PSYCHOLOGY CORPORATION NPI is 1235639733. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As San Diego Therapy Group.

The provider's business location address is:

3760 CONVOY ST.
STE. 118
SAN DIEGO, CA
ZIP 92111
Phone: (619) 800-0821
Fax: (858) 292-0143

The provider's authorized official is Nicole Guzman .
The authorized official title is Ceo and has the following contact phone number (619) 800-0821.

The enumeration date for this NPI number is 2/20/2018 and was last updated on 1/22/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes
2103TC0700XPsychologistClinical24952CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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