# PROTECTED ROOTS INTEGRATIVE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083318448
- **Authorized official:** DR. SUYEU KUO PSYD (EXECUTIVE CLINICAL DIRECTOR)
- **Authorized official phone:** (925) 269-7451

## Contact information

- **Practice address:** 7817 HERSCHEL AVE UNIT 101-102, LA JOLLA, CA 92037-4454
- **Practice address phone:** (858) 295-1815
- **Mailing address:** 7817 HERSCHEL AVE UNIT 101-102, LA JOLLA, CA 92037-4454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2023
- **Last updated:** 03/29/2023