Organization
JAMES A. REAVIS, PSY.D. A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A REAVIS PSY.D. (CEO)
(619) 234-7970
Entity
Organization
Contact information
Practice address
964 5TH AVE # 200, SAN DIEGO, CA 92101-6102
(619) 234-7970
(619) 699-5945
Mailing address
964 5TH AVE # 200, SAN DIEGO, CA 92101-6102
(619) 234-7970
(619) 699-5945
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY17404
CA
Other
Enumeration date
02/14/2009
Last updated
02/14/2009
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