Organization
FAMILY VIOLENCE AND SEXUAL ASSAULT INSTITUTE
Active
Other names
Institute on Violence, Abuse, and Trauma
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORGAN SHAW PSYD (CLINICAL DIRECTOR)
(858) 771-6967
Entity
Organization
Contact information
Practice address
10065 OLD GROVE RD STE 101, SAN DIEGO, CA 92131-1664
(858) 771-7169
Mailing address
10065 OLD GROVE RD STE 101, SAN DIEGO, CA 92131-1664
(858) 771-7169
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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