Michele Larue PH.D.

NPI 1043363062 - Psychologist - 103TC0700X

NPI Details
NPI 1043363062
Gender Female
Enumeration Date 01/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3604 4TH AVE
SUITE 3
SAN DIEGO CA, 92103-4165, US
Phone (619) 685-7780
Fax (760) 741-5619
Business Location
3604 4TH AVE
SUITE 3
SAN DIEGO CA, 92103-4165, US
Phone (619) 685-7780
Fax (760) 741-5619
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY 10136
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According to our database, Dr. Michele Larue PH.D. NPI is 1043363062, taxonomy code is 103TC0700X and license number is PSY 10136, license state is located at California. Michele Larue PH.D. physically located at 3604 4th Ave, San Diego CA, 92103-4165. NPI Number Michele Larue PH.D. has the Individual type.

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1043363062 NPI number is provided on an as is basis without warranty of any kind. 1043363062 is maintained by the National Plan & Provider Enumeration System. The contents of Michele Larue PH.D. are for informational purposes only.