Individual
AMANDA JAYNE BORLENGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
328 ENCINITAS BLVD, SUITE 100, ENCINITAS, CA 92024-8704
(760) 730-4540
(619) 528-4625
Mailing address
PO BOX 609001, SAN DIEGO, CA 92160-9001
(619) 528-4600
(619) 528-4625
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSB36191
CA
103TC0700X
Clinical Psychologist
Primary
PSY25760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W416
MEDICARE NUMBER
CA
Enumeration date
10/11/2011
Last updated
07/13/2015
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