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Organization
SAN DIEGO CENTER FOR NEUROFEEDBACK
Active
Organization
SAN DIEGO CENTER FOR NEUROFEEDBACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIANA KATARINA SILVA PH.D. (PRESIDENT)
(619) 448-1216
Entity
Organization
Contact information
Practice address
12064 WOODSIDE AVE STE 105, LAKESIDE, CA 92040-2951
(619) 448-1216
Mailing address
12064 WOODSIDE AVE STE 105, LAKESIDE, CA 92040-2951
(619) 448-1216
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 21878
CA
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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