Organization
COLLABORATIVE PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN WOOLLEY PHD (PSYCHOLOGIST)
(858) 766-1179
Entity
Organization
Contact information
Practice address
3990 OLD TOWN AVE STE 106C, SAN DIEGO, CA 92110-2968
(858) 766-1179
Mailing address
3990 OLD TOWN AVE STE 106C, SAN DIEGO, CA 92110-2968
(858) 766-1179
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/12/2017
Last updated
06/18/2021
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