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Organization
SAGE PSYCHOLOGICAL WELLNESS, PC
Active
Organization
SAGE PSYCHOLOGICAL WELLNESS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA CARSON LOPEZ PSYD (PRESIDENT)
(619) 752-4450
Entity
Organization
Contact information
Practice address
11440 W BERNARDO CT STE 256, SAN DIEGO, CA 92127-1653
(619) 752-4450
Mailing address
11440 W BERNARDO CT STE 256, SAN DIEGO, CA 92127-1653
(619) 752-4450
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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