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SAN DIEGO CENTER FOR NEUROFEEDBACK NPI 1497200406


NPI Information

NPI: 1497200406
Provider Name: SAN DIEGO CENTER FOR NEUROFEEDBACK
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
12064 WOODSIDE AVE
SUITE 105
LAKESIDE, CA
ZIP 92040
Phone: (619) 436-4263
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SAN DIEGO CENTER FOR NEUROFEEDBACK is a marriage family therapist in Lakeside, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. SAN DIEGO CENTER FOR NEUROFEEDBACK NPI is 1497200406. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12064 WOODSIDE AVE
SUITE 105
LAKESIDE, CA
ZIP 92040-952
Phone: (619) 436-4263

The provider's authorized official is Tanya Hilber .
The authorized official title is Clinical Psychologist and has the following contact phone number (619) 436-4263.

The enumeration date for this NPI number is 8/19/2016 and was last updated on 8/19/2016.


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
1106H00000XMarriage & Family TherapistYes

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: 11/14/2023

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