Individual
ETIANNE CAMILLE MANETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1350 COLUMBIA ST UNIT 402, SAN DIEGO, CA 92101-3455
(619) 393-1447
Mailing address
1350 COLUMBIA ST UNIT 402, SAN DIEGO, CA 92101-3455
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY35217
CA
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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