Individual
CECILY A RESNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1991 VILLAGE PARK WAY STE 150, ENCINITAS, CA 92024-1940
(760) 445-3737
(760) 944-1501
Mailing address
PO BOX 235755, ENCINITAS, CA 92023-5755
(760) 445-3737
(760) 944-1501
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY16956
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY16956
PHD
CA
05
—
PSY169560
—
CA
Enumeration date
08/19/2006
Last updated
08/09/2012
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