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Organization

MARILEE L.M. WASELL, PH.D. CLINICAL AND CONSULTING PSYCHOLOGY PC

Active
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Organization

MARILEE L.M. WASELL, PH.D. CLINICAL AND CONSULTING PSYCHOLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARILEE LAYNE WASELL PH.D. (OWNER/PSYCHOLOGIST)
(619) 200-3658
Entity
Organization

Contact information

Practice address
3579 4TH AVE, SAN DIEGO, CA 92103-4912
(619) 200-3658
(619) 717-8710
Mailing address
3579 4TH AVE, SAN DIEGO, CA 92103-4912
(619) 200-3658
(619) 717-8710

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY20864
CA

Other

Enumeration date
10/29/2013
Last updated
10/29/2013
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