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Organization
SD PSYCHOLOGY, A PROFESSIONAL CORPORATION
Active
Organization
SD PSYCHOLOGY, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STAMATIA DAROGLOU PH.D. (PRESIDENT/ PSYCHOLOGIST)
(619) 894-1507
Entity
Organization
Contact information
Practice address
7946 IVANHOE AVE STE 310, LA JOLLA, CA 92037-4518
(619) 894-1507
(858) 346-9189
Mailing address
PO BOX 1521, LA JOLLA, CA 92038-1521
(619) 894-1507
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205179322
NPI (INDIVIDUAL)
—
Enumeration date
07/09/2021
Last updated
07/09/2021
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