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Individual

DR. DIMITRI GEORGE PERIVOLIOTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3350 LA JOLLA VILLAGE DR, 9116B, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
3350 LA JOLLA VILLAGE DR, 9116B, SAN DIEGO, CA 92161-0002
(858) 552-8585

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017075
PA

Other

Enumeration date
10/03/2011
Last updated
10/06/2011
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