Individual
ELIZABETH KINGSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3101 4TH AVE, SAN DIEGO, CA 92103-5802
(858) 692-2685
Mailing address
3101 4TH AVE, SAN DIEGO, CA 92103-5802
(858) 692-2685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY24170
CA
Other
Enumeration date
01/09/2007
Last updated
10/21/2014
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