Individual provider · Type 1 NPI

Lola Vildavskaia, PhD

Clinical Psychologist · San Diego, CA

NPI number 1437267622 Active

Practice location

4715 Viewridge Ave Ste 230
San Diego, CA 92123-1680

Call (800) 257-8715 Map

Fax (800) 819-1655

Mailing address

36 Garden Grove Dr
Daly City, CA 94015-3049

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PSY18986 (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 1437267622

Lola Vildavskaia, PhD's National Provider Identifier is 1437267622, issued on Aug 28, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.