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Organization
SOUL PSYCHOLOGY
Active
Organization
SOUL PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BOWEN PSYD (OWNER/CEO)
(424) 281-7859
Entity
Organization
Contact information
Practice address
302 WASHINGTON ST, SAN DIEGO, CA 92103-2110
(424) 281-7859
(619) 546-8552
Mailing address
302 WASHINGTON ST, SAN DIEGO, CA 92103-2110
(424) 281-7859
(619) 546-8552
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861949190
NPI INDIVIDUAL NUMBER
—
Enumeration date
11/26/2019
Last updated
05/31/2024
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