Organization
PERSONAL EVOLUTION PSYCHOTHERAPY, INC
Active
Other names
Personal Evolution Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
M. SUE BOYD LCSW, BCD (CLINICAL DIRECTOR/FOUNDER)
(619) 787-6676
Entity
Organization
Contact information
Practice address
3737 CAMINO DEL RIO S, STE. 302, SAN DIEGO, CA 92108-4006
(619) 787-6676
(619) 516-3594
Mailing address
3737 CAMINO DEL RIO S, STE. 302, SAN DIEGO, CA 92108-4006
(619) 787-6676
(619) 516-3594
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
06/11/2019
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