Individual
ABDALLA HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
892 27TH ST, SAN DIEGO, CA 92154-1444
(619) 275-0822
Mailing address
892 27TH ST, SAN DIEGO, CA 92154-1444
(619) 275-0822
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2022
Last updated
12/02/2023
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