Organization
APPLIED INTERVENTIONS & METHODOLOGIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDY SHAW PH.D. (CLINICAL PSYCHOLOGIST, DIRECTOR)
(858) 492-8511
Entity
Organization
Contact information
Practice address
6540 LUSK BLVD STE C256, SAN DIEGO, CA 92121-5795
(858) 657-9117
Mailing address
6540 LUSK BLVD STE C256, SAN DIEGO, CA 92121-5795
(858) 657-9117
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
PSY18351
CA
251C00000X
Developmentally Disabled Services Day Training Agency
PSY18351
CA
251S00000X
Community/Behavioral Health Agency
PSY18351
CA
Other
Enumeration date
05/31/2007
Last updated
09/11/2025
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