Organization · Type 2 NPI
Soul Tide Outpatient Psychotherapy, PC
Psychologist · Carlsbad, CA
Practice location
3257 Camino De Los Coches Ste 303
Carlsbad, CA 92009-8974
Fax (858) 726-6265
Mailing address
2204 Irving Ave
San Diego, CA 92113-2301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Psychologist Primary | 103T00000X | None listed |
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…
2 other providers at this address
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About NPI 1376224402
Soul Tide Outpatient Psychotherapy, PC's National Provider Identifier is 1376224402, issued on Jul 31, 2023. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Carlsbad, CA. The record was last updated on Feb 3, 2026.