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SAN DIEGO FORENSIC PSYCHOLOGY CORPORATION NPI 1538620786


NPI Information

NPI: 1538620786
Provider Name: SAN DIEGO FORENSIC PSYCHOLOGY CORPORATION
Classification: Psychologist - 103TF0200X
Entity Type: Organization

Specialization: Forensic

Address:
4640 CASS STREET
# 90422
SAN DIEGO, CA
ZIP 92109
Phone: (858) 274-0874
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SAN DIEGO FORENSIC PSYCHOLOGY CORPORATION is a forensic psychologist in San Diego, CA. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. SAN DIEGO FORENSIC PSYCHOLOGY CORPORATION NPI is 1538620786. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4640 CASS STREET
# 90422
SAN DIEGO, CA
ZIP 92109
Phone: (858) 274-0874

The provider's authorized official is Shanda Angioli .
The authorized official title is President and has the following contact phone number (858) 274-0874.

The enumeration date for this NPI number is 3/29/2019 and was last updated on 6/8/2019.


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
1103TF0200XPsychologistForensicYes

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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