Lagasse Yates, INC
Psychologist, Clinical in San Diego, CA. Organization (NPI-2).
NPI number1902851900
StatusActive
Last updated in NPPESNov 18, 2011
Details
- NPI
- 1902851900
- Entity type
- Organization (NPI-2)
- Legal business name
- Lagasse Yates, INC
- Organization subpart
- No
- Enumeration date
- May 24, 2006
- Last updated
- Nov 18, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
12625 High Bluff DrSuite 206
San Diego, CA 92130-2052
Phone 858-793-8768
Mailing address
12625 High Bluff DrSuite 206
San Diego, CA 92130-2052
Phone 858-793-8768
Authorized official
Susan Lagasse
Owner
8587938768
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