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Individual

DR. DANA L. MENDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH. D.

Contact information

Practice address
3252 HOLIDAY CT, SUITE 201, LA JOLLA, CA 92037-0027
(858) 623-3252
(858) 623-3253
Mailing address
3252 HOLIDAY CT., SUITE 201, LA JOLLA, CA 92037-1808
(858) 623-3252
(858) 623-3253

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 14172
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PSY 14172
LICENSE NUMBER
CA
Enumeration date
10/03/2006
Last updated
07/08/2007
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