Individual
SYLVIA LEA BUSHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8224
Mailing address
7682 NORTHRUP PL, SAN DIEGO, CA 92126-3585
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT29743
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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