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Organization
SOFIE PHD PSYCHOLOGY CO
Active
Organization
SOFIE PHD PSYCHOLOGY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIE LING CHAMPASSAK (OWNER)
(619) 722-5797
Entity
Organization
Contact information
Practice address
3505 CAMINO DEL RIO S STE 212, SAN DIEGO, CA 92108-4016
(619) 722-5797
Mailing address
PO BOX 26331, SAN DIEGO, CA 92196-0331
(619) 722-5797
(619) 354-2480
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
07/16/2024
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