Individual provider · Type 1 NPI

Charles Clark Ertl, PhD

Psychologist · San Diego, CA

NPI number 1356375729 Active

Practice location

10981 San Diego Mission Rd, Suite 114
San Diego, CA 92108-2448

Call (619) 286-2687 Map

Fax (619) 286-2687

Mailing address

4852 Lila Dr
San Diego, CA 92115-1910

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY15479 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1356375729

Charles Clark Ertl, PhD's National Provider Identifier is 1356375729, issued on Jul 10, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.