Individual
ANA MARIE PILAR DESOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
500 FESLER ST, STE 205, EL CAJON, CA 92020-1968
(619) 579-9346
(619) 579-9304
Mailing address
500 FESLER ST, STE 205, EL CAJON, CA 92020-1968
(619) 579-9346
(619) 579-9304
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY11402
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY114020
—
CA
Enumeration date
10/25/2006
Last updated
02/24/2015
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