Individual
CECILIA DUENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY
Contact information
Practice address
4550 KEARNY VILLA RD, STE 116, SAN DIEGO, CA 92123-1578
(858) 279-1223
(858) 467-7161
Mailing address
6996 MIMOSA DR, CARLSBAD, CA 92011-5155
(858) 279-1223
(858) 467-7161
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 25519
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY 25519
CA
Other
Enumeration date
09/11/2012
Last updated
03/28/2013
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