Individual
DR. KENNETH SCOTT DELLEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
4622 CLAIREMONT DR, SAN DIEGO, CA 92117-2701
(619) 680-9687
Mailing address
4622 CLAIREMONT DR, SAN DIEGO, CA 92117-2701
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY13163
CA
Other
Enumeration date
09/29/2006
Last updated
09/05/2010
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