Individual provider · Type 1 NPI
Susan Ray Tate, PhD
Group Psychotherapy Psychologist · San Diego, CA
Practice location
3350 La Jolla Village Dr # 116B
San Diego, CA 92161-0002
Fax (858) 642-3557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 17625 (CA) |
| Clinical Psychologist | 103TC0700X | 17625 (CA) |
| Psychologist | 103T00000X | 17625 (CA) |
| Group Psychotherapy Psychologist Primary | 103TP2701X | 17625 (CA) |
Group Psychotherapy Psychologist: A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group m…
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About NPI 1184705261
Susan Ray Tate, PhD's National Provider Identifier is 1184705261, issued on Oct 17, 2006. The primary taxonomy on file is Group Psychotherapy Psychologist (103TP2701X), and the practice location is in San Diego, CA. The record was last updated on Sep 11, 2025.