Individual
ANDREW GANZEKAUFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4550 KEARNY VILLA RD STE 116, SAN DIEGO, CA 92123-1583
(858) 279-1223
Mailing address
4832 CORONADO AVE APT 2, SAN DIEGO, CA 92107-3336
(858) 531-3338
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 20862
CA
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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