Individual
DR. ADELE SHERRY RABIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10455 POMERADO RD, DALEY HALL, AIU, SAN DIEGO, CA 92131-1717
(858) 635-4801
(858) 635-4811
Mailing address
10455 POMERADO RD, DALEY HALL, AIU, SAN DIEGO, CA 92131-1717
(858) 635-4801
(858) 635-4811
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY11311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06J1187
CHAMPUS
CA
01
—
OPL113110
BLUE SHIELD
CA
05
—
PSY11311
—
CA
Enumeration date
01/10/2007
Last updated
07/09/2007
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