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Organization
SAN DIEGO PSYCHOLOGICAL CENTER INC.
Active
Organization
SAN DIEGO PSYCHOLOGICAL CENTER INC.
Active
Other names
SDPC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BANAFSHEH PEZESHK PSY.D (CEO)
(760) 607-6463
Entity
Organization
Contact information
Practice address
15525 POMERADO RD, SUITE B3, POWAY, CA 92064-2435
(760) 607-6463
(760) 607-3433
Mailing address
2258 SUNSET DR, ESCONDIDO, CA 92025-6613
(760) 607-6463
(760) 607-3433
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22844
CA
103TC0700X
Clinical Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184959009
PERSONAL NPI
CA
Enumeration date
01/21/2015
Last updated
10/09/2021
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