Individual provider · Type 1 NPI

Sofie Ling Champassak, PhD

Clinical Psychologist · San Diego, CA

NPI number 1114405305 Active

Practice location

3411 3rd Ave
San Diego, CA 92103-4906

Fax (619) 354-2480

Mailing address

PO Box 26331
San Diego, CA 92196-0331

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY30201 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1114405305

Sofie Ling Champassak, PhD's National Provider Identifier is 1114405305, issued on Jul 31, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Diego, CA. The record was last updated on Sep 3, 2019.