Individual
DEBRA MIDORI KAWAHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10455 POMERADO RD, SAN DIEGO, CA 92131-1717
(858) 268-9054
(858) 635-4585
Mailing address
PO BOX 74, SAN LUIS REY, CA 92068-0074
(858) 268-9054
(858) 635-4585
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY15540
CA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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