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Individual

DR. DEBRA M. HALLIDAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D., CGP

Contact information

Practice address
355 SANTA FE DR, ENCINITAS, CA 92024-5152
(760) 635-3310
(760) 452-7525
Mailing address
355 SANTA FE DR, ENCINITAS, CA 92024-5152
(760) 635-3310
(760) 452-7525

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY23206
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OPL232060
BLUE SHIELD PIN
CA
Enumeration date
12/23/2008
Last updated
09/25/2015
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