Individual
CLARIE EMILY DEIERHOI-CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2535 KETTNER BLVD STE 2B1, SAN DIEGO, CA 92101-1253
(619) 512-9451
Mailing address
2535 KETTNER BLVD STE 2B1, SAN DIEGO, CA 92101-1253
(619) 512-9451
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY31224
CA
Other
Enumeration date
09/05/2014
Last updated
03/08/2021
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