Organization
DR. NASTASSIA REBECCA RISER, A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA (NASTASSIA) E RISER M.S., PH.D. (CLINICAL DIRECTOR)
(760) 492-9057
Entity
Organization
Contact information
Practice address
700 GARDEN VIEW CT STE 201J, ENCINITAS, CA 92024-2479
(760) 492-9057
Mailing address
700 GARDEN VIEW CT STE 201J, ENCINITAS, CA 92024-2479
(760) 492-9057
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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