Individual
GLENN CHARLES MOTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
162 S RANCHO SANTA FE RD STE F50, ENCINITAS, CA 92024-6334
(415) 497-3369
Mailing address
162 S RANCHO SANTA FE RD STE F50, ENCINITAS, CA 92024-6334
(415) 497-3369
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34301
CA
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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