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Organization
MATTHEW WEISSKOPF, PH.D.,A PSYCHOLOGICAL CORPORATION
Active
Organization
MATTHEW WEISSKOPF, PH.D.,A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WEISSKOPF PH.D. (OWNER)
(858) 232-6136
Entity
Organization
Contact information
Practice address
2423 CAMINO DEL RIO S STE 102, SAN DIEGO, CA 92108-3734
(858) 232-6136
(888) 753-7206
Mailing address
5339 OUTLOOK PT, SAN DIEGO, CA 92124-1819
(858) 232-6136
(888) 753-7206
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133650
—
CA
Enumeration date
06/06/2013
Last updated
12/01/2022
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