Organization
PERCEPTION DYNAMICS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERI LAWTON PHD (CEO, OWNER)
(310) 903-6009
Entity
Organization
Contact information
Practice address
828 SANTA INEZ, SOLANA BEACH, CA 92075-1523
(310) 903-6009
Mailing address
PO BOX 231305, ENCINITAS, CA 92023-1305
(310) 903-6009
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14645900
CAQH PROVIDER
CA
Enumeration date
10/13/2020
Last updated
10/13/2020
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