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Organization
LIGHTHOUSE PSYCHOLOGICAL SERVICES, INC
Active
Organization
LIGHTHOUSE PSYCHOLOGICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JENKINS PH.D. (PSYCHOLOGIST)
(619) 347-3457
Entity
Organization
Contact information
Practice address
2525 CAMINO DEL RIO S, STE 315, SAN DIEGO, CA 92108-3717
(619) 347-3457
(619) 584-5644
Mailing address
2525 CAMINO DEL RIO S, STE 315, SAN DIEGO, CA 92108-3717
(619) 347-3457
(619) 584-5644
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10627
CA
Other
Enumeration date
02/16/2007
Last updated
04/06/2016
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