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Organization
SAN DIEGO FAMILY SERVICES
Active
Organization
SAN DIEGO FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTY WISE PSY.D. (DIRECTOR)
(877) 880-7337
Entity
Organization
Contact information
Practice address
1104 CAMINO DEL MAR, SUITE 107, DEL MAR, CA 92014-2656
(877) 880-7337
(858) 923-1121
Mailing address
1104 CAMINO DEL MAR, SUITE 107, DEL MAR, CA 92014-2656
(877) 880-7337
(858) 923-1121
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
04/09/2007
Last updated
01/17/2012
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