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Individual

DR. JEFF SCHANOWITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
5252 BALBOA AVE, SUITE 503, SAN DIEGO, CA 92117
(619) 252-3713
(619) 810-0620
Mailing address
13500 GINGER GLEN RD, SAN DIEGO, CA 92130
(619) 252-3713
(858) 536-7084

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20362
CA
103T00000X
Psychologist
PSY20362
CA

Other

Enumeration date
08/30/2006
Last updated
12/05/2022
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