Individual
DR. DORIAN L POLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3760 CONVOY ST, STE 118, SAN DIEGO, CA 92111-3742
(858) 268-4082
(858) 292-0143
Mailing address
3760 CONVOY ST, STE 118, SAN DIEGO, CA 92111-3742
(858) 268-4082
(858) 292-0143
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY8656
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY086560
—
CA
Enumeration date
07/26/2005
Last updated
07/08/2007
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