Organization
ASCENT PSYCHOLOGICAL SERVICES
Active
Other names
Ascent ESDM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN GASSIER (OWNER)
(614) 323-2617
Entity
Organization
Contact information
Practice address
4652 BANNOCK AVE, SAN DIEGO, CA 92117-2922
(614) 323-2617
Mailing address
4652 BANNOCK AVE, SAN DIEGO, CA 92117-2922
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
26523
CA
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255879722
NPI
—
01
—
1457760357
NPI
—
Enumeration date
04/06/2018
Last updated
04/06/2018
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