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Organization
STEPHANIE KNATZ PECK, PHD PSYCHOLOGICAL SERVICES INC
Active
Organization
STEPHANIE KNATZ PECK, PHD PSYCHOLOGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE KNATZ PECK PHD (CHIEF EXECUTIVE OFFICER,PSYCHOLOGIS)
(619) 573-5073
Entity
Organization
Contact information
Practice address
4370 LA JOLLA VILLAGE DR STE 400, SAN DIEGO, CA 92122-1251
(619) 573-5073
(619) 315-0448
Mailing address
4370 LA JOLLA VILLAGE DR STE 400, SAN DIEGO, CA 92122-1251
(619) 573-5073
(619) 315-0448
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
PSY26162
CA
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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