Individual
DANIELA PERALTA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1010 TURQUOISE ST STE 303, SAN DIEGO, CA 92109-1268
(858) 255-4095
Mailing address
PO BOX 3420, SAN DIEGO, CA 92163-1420
(619) 363-2068
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSB94027153
CA
Other
Enumeration date
07/07/2021
Last updated
08/29/2024
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