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DEIERHOI-CLARK PSYCHOLOGY A PROFESSIONAL ORGANIZATION NPI 1306534219


NPI Information

NPI: 1306534219
Provider Name: DEIERHOI-CLARK PSYCHOLOGY, A PROFESSIONAL ORGANIZATION
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2535 KETTNER BLVD STE 2B1
SAN DIEGO, CA
ZIP 92101
Phone: (619) 512-9451
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DEIERHOI-CLARK PSYCHOLOGY, A PROFESSIONAL ORGANIZATION is an adult mental health clinic center in San Diego, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. DEIERHOI-CLARK PSYCHOLOGY, A PROFESSIONAL ORGANIZATION NPI is 1306534219. The provider is registered as an organization entity type.

The provider's business location address is:

2535 KETTNER BLVD STE 2B1
SAN DIEGO, CA
ZIP 92101-253
Phone: (619) 512-9451
Fax: (619) 821-9721

The provider's authorized official is Clarie Emily Deierhoi-clark .
The authorized official title is Owner/psychologist and has the following contact phone number (619) 512-9451.

The enumeration date for this NPI number is 4/27/2023 and was last updated on 4/27/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

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: 5/5/2024

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