Individual
LYNETTE RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 MEADOW LARK DRIVE, SAN DIEGO, CA 92123
(619) 206-1416
Mailing address
PO BOX 1669, SOLANA BEACH, CA 92075-7669
(619) 206-1416
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
15065
CA
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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