Organization
CLINIC OVIS PSYCHOLOGICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CODY LIND GUSTAVESON PHD (PRESIDENT)
(619) 636-5020
Entity
Organization
Contact information
Practice address
2160 FLETCHER PKWY STE 110, EL CAJON, CA 92020-2117
(888) 983-1531
Mailing address
2160 FLETCHER PKWY STE 110, EL CAJON, CA 92020-2117
(619) 330-5477
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
12/13/2024
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