Individual
CHERYL LA SASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
12526 HIGH BLUFF DR STE 300, SAN DIEGO, CA 92130-2067
(858) 400-4646
Mailing address
12526 HIGH BLUFF DR STE 300, SAN DIEGO, CA 92130-2067
(858) 400-4646
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY23029
CA
103T00000X
Psychologist
Primary
PSY23029
CA
Other
Enumeration date
09/22/2009
Last updated
08/13/2019
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