| NPI Details | |
|---|---|
| NPI | 1043616121 |
| Enumeration Date | 11/17/2014 |
| Last Updated | 04/12/2015 |
| Entity Type | Healthcare Provider |
| Active | Over 2 years ago |
| Authorized Information | |
|---|---|
| Name | RACHEL L RACHEL |
| Position | OWNER |
| Phone | (858) 386-0993 |
| Fax | (858) 408-7416 |
| Practice Location | |
|---|---|
| 3636 4TH AVE SUITE 304 SAN DIEGO CA, 92103-4280, US |
|
| Phone | (858) 386-0993 |
| Fax | (858) 408-7416 |
| Business Location | |
|---|---|
| 3636 4TH AVE SUITE 304 SAN DIEGO CA, 92103-4280, US |
|
| Phone | (858) 386-0993 |
| Fax | (858) 408-7416 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 103TC0700X |
| License State | California |
| License Number | PSY25309 |
| Remove 1043616121 NPI Number | |
According to our database, Genuine Psychological Services NPI is 1043616121, taxonomy code is 103TC0700X and license number is PSY25309, license state is located at California. Genuine Psychological Services physically located at 3636 4th Ave, San Diego CA, 92103-4280. NPI Number 1033115704 has the healthcare provider type.
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1043616121 NPI number is provided on an as is basis without warranty of any kind. 1043616121 is maintained by the National Plan & Provider Enumeration System. The contents of Genuine Psychological Services are for informational purposes only.
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