Individual
DR. CLARENCE LOUIS AMARAL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
851 S 35TH ST, SAN DIEGO, CA 92113-2701
(619) 294-0294
(858) 794-9966
Mailing address
PO BOX 1212, DEL MAR, CA 92014-1212
(619) 294-0294
(858) 794-9966
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY15793
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY157930
—
CA
Enumeration date
05/24/2007
Last updated
07/09/2007
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