Individual
DR. JERMAINE DICTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5252 BALBOA AVE STE 803, SAN DIEGO, CA 92117-6920
(619) 258-1381
Mailing address
5252 BALBOA AVE STE 803, SAN DIEGO, CA 92117-6920
(619) 258-1381
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY32039
CA
Other
Enumeration date
02/24/2018
Last updated
08/05/2021
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