# JULIA ROSENGREN PSYCHOLOGIST, INC.

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

## Provider details

- **NPI number:** 1114676616
- **Authorized official:** DR. JULIA ROSENGREN PSY.D. (CEO)
- **Authorized official phone:** (858) 432-3919

## Contact information

- **Practice address:** 5252 BALBOA AVE STE 803, SAN DIEGO, CA 92117-6920
- **Practice address phone:** (858) 432-3919
- **Practice address fax:** (833) 439-5561
- **Mailing address:** 5252 BALBOA AVE STE 803, SAN DIEGO, CA 92117-6920
- **Mailing address phone:** (858) 432-3919
- **Mailing address fax:** (833) 439-5561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | Yes |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | Yes |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |

## Other

- **Enumeration date:** 03/22/2022
- **Last updated:** 03/22/2022