Organization
PUG THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIBELIA L CHAIYAHAT PSYD, LCSW (PRESIDENT)
(442) 500-8548
Entity
Organization
Contact information
Practice address
2103 S EL CAMINO REAL STE 206, OCEANSIDE, CA 92054-6281
(442) 500-8548
(760) 400-8379
Mailing address
2103 S EL CAMINO REAL STE 206, OCEANSIDE, CA 92054-6281
(442) 500-8548
(760) 400-8379
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/13/2023
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