Organization
CARLSBAD PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA PETIT DE MANGE (PRESIDENT)
(760) 276-4606
Entity
Organization
Contact information
Practice address
3150 EL CAMINO REAL, SUITE E, CARLSBAD, CA 92008-2110
(760) 276-4606
Mailing address
3150 EL CAMINO REAL, SUITE E, CARLSBAD, CA 92008-2110
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY26000
CA
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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