Individual
CRAIG TEOFILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
480 ALTA ROAD, SAN DIEGO, CA 92198
(619) 279-2473
Mailing address
PO BOX 28995, SAN DIEGO, CA 92198-0995
(619) 279-2473
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
PSY 17292
CA
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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