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Organization
INTEGRATIVE PSYCHOLOGICAL SERVICES
Active
Organization
INTEGRATIVE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YARON PRUGININ PSY.D. (CEO)
(858) 384-5891
Entity
Organization
Contact information
Practice address
4565 RUFFNER ST STE 108, SAN DIEGO, CA 92111-2258
(858) 384-5891
Mailing address
4565 RUFFNER ST STE 108, SAN DIEGO, CA 92111-2258
(858) 384-5891
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21146
CA
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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