Organization
BEHAVIORAL MENTAL HEALTH, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARJAN DAVOUDI PSY. D. (OWNER)
(858) 205-5486
Entity
Organization
Contact information
Practice address
3111 CAMINO DEL RIO N STE 400, SAN DIEGO, CA 92108-5724
(858) 205-5486
Mailing address
PO BOX 2585, LA JOLLA, CA 92038-2585
(858) 205-5486
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
060009174
IL
103TC0700X
Clinical Psychologist
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
05/17/2006
Last updated
05/11/2023
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