Organization · Type 2 NPI

Personal Evolution Psychotherapy, Inc

Multi-Specialty Clinic/Center · San Diego, CA

NPI number 1356779482 Active

Practice location

3737 Camino Del Rio S, Ste. 302
San Diego, CA 92108-4006

Fax (619) 516-3594

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

4 other providers at this address

Bethel Family Counseling Professional CorporationMarriage & Family Therapist San Diego, CA NPI 1356705222
Ashley Aleem, LPCCProfessional Counselor San Diego, CA NPI 1083943427
Joseph Anthony Davis, PhDClinical Psychologist San Diego, CA NPI 1295175495
Marja Ganesh, AMFT/APCCMarriage & Family Therapist San Diego, CA NPI 1982201596

Other multi-specialty clinic/center providers in San Diego

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NPI record

NPI: 1356779482
Entity type: Organization (Type 2)
Issued: Oct 29, 2013
Last updated: Jun 11, 2019
Status: Active

Other names

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Personal Evolution Psychotherapy · doing business as
Personal Evolution Psychotherapy · doing business as

Authorized official

M. Sue Boyd, LCSW, BCD
Clinical Director/founder
(619) 787-6676

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About NPI 1356779482

Personal Evolution Psychotherapy, Inc's National Provider Identifier is 1356779482, issued on Oct 29, 2013. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in San Diego, CA. The record was last updated on Jun 11, 2019.