Individual
DR. CHARLOTTE CLARKE HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9663 TIERRA GRANDE ST, SUITE 104, SAN DIEGO, CA 92126-4568
(858) 695-2243
(619) 238-5686
Mailing address
9663 TIERRA GRANDE ST, SUITE 104, SAN DIEGO, CA 92126-4568
(858) 695-2243
(619) 238-5686
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY7406
CA
Other
Enumeration date
12/04/2006
Last updated
01/20/2015
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