Organization
BEHAVIORAL HEALTH ASSOCIATES MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER GUDE M.A. (CREDENTIALING MANAGER)
(619) 528-4600
Entity
Organization
Contact information
Practice address
4542 RUFFNER ST, SUITE 200, SAN DIEGO, CA 92111-2237
(619) 528-4600
(619) 528-4625
Mailing address
4542 RUFFNER ST, SUITE 200, SAN DIEGO, CA 92111-2237
(619) 528-4600
(619) 528-4625
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
01/09/2007
Last updated
11/12/2015
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