Individual
LAURA ELISABETH WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2525 CAMINO DEL RIO S, STE 205, SAN DIEGO, CA 92108-3719
(619) 356-0451
(619) 916-2142
Mailing address
2525 CAMINO DEL RIO S, STE 205, SAN DIEGO, CA 92108-3719
(619) 356-0451
(619) 916-2142
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY26863
CA
Other
Enumeration date
07/27/2009
Last updated
07/01/2019
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