Organization
SAN DIEGO PSYCHOLOGICAL COUPLE CARE, INC.
Active
Other names
San Diego Couple Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARISA CICILA PHD (CEO)
(619) 784-8504
Entity
Organization
Contact information
Practice address
3233 3RD AVE, SAN DIEGO, CA 92103-5615
(619) 784-8504
(619) 790-4776
Mailing address
3233 3RD AVE, SAN DIEGO, CA 92103-5615
(619) 784-8504
(619) 790-4776
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
103TF0000X
Family Psychologist
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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