Individual
ANTJE FECHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4715 VIEWRIDGE AVE STE 230, SAN DIEGO, CA 92123-1680
(800) 257-8715
(800) 819-1655
Mailing address
4005 WESLEYAN PL, SAN DIEGO, CA 92116-2022
(619) 284-7572
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY16415
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY164150
—
CA
Enumeration date
08/31/2006
Last updated
07/08/2007
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