Individual
DR. BANAFSHEH PEZESHK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
15525 POMERADO RD, SUITE B3, POWAY, CA 92064-2435
(760) 607-6463
(760) 607-3433
Mailing address
15525 POMERADO RD, SUITE B3, POWAY, CA 92064-2435
(760) 607-6463
(760) 607-3433
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22843
CA
Other
Enumeration date
10/09/2009
Last updated
01/10/2017
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