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Individual

CASSANDRA VIETEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31272
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31272
CALIFORNIA BOARD OF PSYCHOLOGY
CA
Enumeration date
06/10/2021
Last updated
12/19/2022
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