Individual
DEBORAH COSMETIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3990 OLD TOWN AVE STE A208, SAN DIEGO, CA 92110-2967
(619) 786-0674
(619) 789-0449
Mailing address
3990 OLD TOWN AVE STE A208, SAN DIEGO, CA 92110-2967
(619) 786-0674
(619) 789-0449
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY24117
CA
Other
Enumeration date
01/04/2007
Last updated
12/04/2012
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