Organization
DEISY C. BOSCAN PH.D. PSYCHOLOGIST PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEISY CRISTINA BOSCAN PHD (OWNER)
(858) 263-4226
Entity
Organization
Contact information
Practice address
7590 FAY AVE STE 401, LA JOLLA, CA 92037-4872
(858) 263-4226
(858) 263-4206
Mailing address
PO BOX 2583, LA JOLLA, CA 92038-2583
(858) 263-4226
(858) 263-4206
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18873
CA
Other
Enumeration date
10/12/2016
Last updated
12/14/2021
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