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Organization
SAGE PHD
Active
Organization
SAGE PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAGE SCHUITEVOERDER PHD (PSYCHOLOGIST)
(858) 228-7701
Entity
Organization
Contact information
Practice address
2801 CAMINO DEL RIO S, SUITE 200, SAN DIEGO, CA 92108-3800
(858) 228-7701
(619) 269-9777
Mailing address
2801 CAMINO DEL RIO S, SUITE 200, SAN DIEGO, CA 92108-3800
(858) 228-7701
(619) 269-9777
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
25395
CA
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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