Individual
DR. CINNAMON SUE BLOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-5737
(858) 546-9280
Mailing address
FILE 54433, LOS ANGELES, CA 90074-4433
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY23085
CA
103TC0700X
Clinical Psychologist
PSY23085
CA
Other
Enumeration date
07/28/2010
Last updated
09/07/2010
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