Individual
JASON AMED RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1738 S TREMONT ST, OCEANSIDE, CA 92054-5309
(760) 439-2800
Mailing address
2734 LOKER AVE W, SUITE L, CARLSBAD, CA 92010-6627
(760) 230-4274
(760) 230-4274
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 24583
CA
Other
Enumeration date
05/21/2010
Last updated
09/29/2016
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