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Organization
SAN DIEGO PSYCHOLOGY GROUP, INC
Active
Organization
SAN DIEGO PSYCHOLOGY GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE JAFFE PHD (OWNER/PRESIDENT)
(858) 208-9689
Entity
Organization
Contact information
Practice address
12625 HIGH BLUFF DR STE 104, SAN DIEGO, CA 92130-2053
(858) 208-9689
(858) 793-1124
Mailing address
12625 HIGH BLUFF DR STE 104, SAN DIEGO, CA 92130-2053
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY18811
CA
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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