Individual
OMAR M ALHASSOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
591 CAMINO DE LA REINA, SUITE 1217, SAN DIEGO, CA 92108-3102
(619) 800-8743
Mailing address
591 CAMINO DE LA REINA, SUITE 1217, SAN DIEGO, CA 92108-3102
(619) 800-8743
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
22494
CA
103T00000X
Psychologist
22494
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
22494
CA
103TA0700X
Adult Development & Aging Psychologist
22494
CA
103TB0200X
Cognitive & Behavioral Psychologist
22494
CA
103TC0700X
Clinical Psychologist
22494
CA
103TH0004X
Health Psychologist
22494
CA
103TP2701X
Group Psychotherapy Psychologist
22494
CA
103TR0400X
Rehabilitation Psychologist
22494
CA
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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