Organization
PERSONAL EVOLUTION PSYCHOTHERAPY, INC
Active
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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