Organization
BALANCED PSYCHOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELSEY MICHAEL BRADSHAW PHD (PSYCHOLOGIST / PRESIDENT)
(208) 310-9884
Entity
Organization
Contact information
Practice address
2777 JEFFERSON ST STE 203, CARLSBAD, CA 92008-1743
(760) 385-8426
Mailing address
560 MOONLIGHT DR, SAN MARCOS, CA 92069-2067
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/15/2019
Last updated
06/15/2019
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