Organization · Type 2 NPI

Innovative Therapy 4 Kids Inc

Clinical Psychologist · Carlsbad, CA

NPI number 1760579015 Active

Practice location

2333 State St, Suite 201
Carlsbad, CA 92008-1691

Fax (760) 434-3871

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XSP9589 (CA)
Clinical Psychologist Primary 103TC0700XSP9589 (CA)
Pediatric Physical Therapist 2251P0200XSP9589 (CA)
Neurorehabilitation Occupational Therapist 225XN1300XSP9589 (CA)
Speech-Language Pathologist 235Z00000XSP9589 (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 1760579015

Innovative Therapy 4 Kids Inc's National Provider Identifier is 1760579015, issued on Oct 6, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Carlsbad, CA. The record was last updated on Sep 11, 2025.