Organization
SAN DIEGO NEUROPSYCHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANNE FRANKLIN (BILLING MANAGER)
(216) 470-4677
Entity
Organization
Contact information
Practice address
4505 MANCHESTER, SUITE 206, ENCINITAS, CA 92024
(760) 944-9647
(760) 944-7491
Mailing address
4505 MANCHESTER, SUITE 206, ENCINITAS, CA 92024
(760) 944-9647
(760) 944-7491
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427171412
NPI NUMBER
CA
Enumeration date
01/29/2021
Last updated
01/29/2021
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