Individual
DR. CAROLYN QUISENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
15525 POMERADO RD STE B3, POWAY, CA 92064-2425
(760) 607-6463
(760) 607-3433
Mailing address
15525 POMERADO RD STE B3, POWAY, CA 92064-2425
(760) 607-6463
(760) 607-3433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
29419
CA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
Other
Enumeration date
05/28/2015
Last updated
04/03/2018
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