Organization
STEPHANIE KNATZ PECK, PHD PSYCHOLOGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE KNATZ PECK PHD (CHIEF EXECUTIVE OFFICER,PSYCHOLOGIS)
(619) 573-5073
Entity
Organization
Contact information
Practice address
4370 LA JOLLA VILLAGE DR STE 400, SAN DIEGO, CA 92122-1251
(619) 573-5073
(619) 315-0448
Mailing address
4370 LA JOLLA VILLAGE DR STE 400, SAN DIEGO, CA 92122-1251
(619) 573-5073
(619) 315-0448
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
PSY26162
CA
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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