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Organization
WALL PSYCHOLOGY A PSYCHOLOGICAL CORPORATION
Active
Organization
WALL PSYCHOLOGY A PSYCHOLOGICAL CORPORATION
Active
Other names
PsychSanDiego
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALESSANDRA SONBOLEH ANTONIA WALL PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(858) 352-8027
Entity
Organization
Contact information
Practice address
311 LAUREL ST, SAN DIEGO, CA 92101-1630
(858) 352-8027
(619) 231-1050
Mailing address
311 LAUREL ST, SAN DIEGO, CA 92101-1630
(858) 352-8027
(619) 231-1050
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY20775
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY20775
LICENSE NUMBER
CA
Enumeration date
12/20/2006
Last updated
08/22/2020
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