Psychsandiego

LBN: Wall Psychology A Psychological Corporation
Psychsandiego is an health care organization with primary practice located at 311 Laurel St , San Diego CA 92101-1630. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Wall Psychology A Psychological Corporation can be contacted via phone (858) 352-8027, or through Wall, Alessandra Sonboleh Antonia via phone (858) 352-8027.

Contact Information

Primary practice address
311 Laurel St San Diego CA 92101-1630
Phone: (858) 352-8027
Fax: (619) 231-1050
Website:
Map and Directions
Authorized official contact:
Name: Wall, Alessandra Sonboleh Antonia PH.D.
Phone: (858) 352-8027

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY20775 California

Profile Details

NPI number 1497819973
LBN Legal business name Wall Psychology A Psychological Corporation
DBA Doing business as Psychsandiego
Authorized official Wall, Alessandra Sonboleh Antonia PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497819973 NPPES
California Other PSY20775 LICENSE NUMBER

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