Organization
SAN DIEGO YOUTH PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAMIN PATEL PSYD (OWNER/ PSYCHOLOGIST)
(858) 356-2176
Entity
Organization
Contact information
Practice address
7220 TRADE ST STE 164, SAN DIEGO, CA 92121-2324
(858) 356-2176
Mailing address
3525 DEL MAR HEIGHTS RD PO BOX #1991, SAN DIEGO, CA 92130-2199
(858) 356-2176
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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