Individual
ELIZABETH TEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
4350 OTAY MESA RD, SAN YSIDRO, CA 92173-1617
(619) 428-4476
Mailing address
3454 DEL SOL BLVD APT L, SAN DIEGO, CA 92154-3507
(619) 690-3624
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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