Bahena-Colley, Sandra
Bahena-Colley, Sandra is an individual health care provider with primary practice located at 4060 Fairmount Ave , San Diego CA 92105-1608. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bahena-Colley, Sandra can be contacted via phone (619) 564-8765.Contact Information
Primary practice address
4060 Fairmount Ave
San Diego CA 92105-1608
Phone: (619) 564-8765
Fax: (619) 564-8786
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY29792 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY29792 | California |
Profile Details
NPI number | 1073742268 |
---|---|
LBN Legal business name | Bahena-Colley, Sandra |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2009 |
Last updated | Feb 14th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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