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Organization
CLINIC OVIS PSYCHOLOGICAL GROUP PC
Active
Organization
CLINIC OVIS PSYCHOLOGICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CODY LIND GUSTAVESON PHD (PRESIDENT)
(619) 636-5020
Entity
Organization
Contact information
Practice address
2160 FLETCHER PKWY STE 110, EL CAJON, CA 92020-2117
(888) 983-1531
Mailing address
2160 FLETCHER PKWY STE 110, EL CAJON, CA 92020-2117
(619) 330-5477
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
12/13/2024
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