Organization
SAN DIEGO STATE UNIVERSITY CENTER FOR AUTISM AND DEVELOPMENTAL DISORDERS
Active
Organization
SAN DIEGO STATE UNIVERSITY CENTER FOR AUTISM AND DEVELOPMENTAL DISORDERS
Active
Parent organization
SAN DIEGO STATE UNIVERSITY FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN DIEGO STATE UNIVERSITY FOUNDATION
Authorized official
DR. INNA FISHMAN PHD (DIRECTOR)
(619) 594-2299
Entity
Organization
Contact information
Practice address
6363 ALVARADO CT STE 100, SAN DIEGO, CA 92120
(619) 594-2603
Mailing address
6363 ALVARADO CT STE 100, SAN DIEGO, CA 92120
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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