Dr. Jermaine Dictado, PsyD
Psychologist, Cognitive & Behavioral in San Diego, CA. Individual provider (NPI-1).
NPI number1982105987
StatusActive
Last updated in NPPESAug 5, 2021
Details
- NPI
- 1982105987
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jermaine Dictado
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 24, 2018
- Certification date
- Aug 5, 2021
- Last updated
- Aug 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TB0200X | Psychologist, Cognitive & Behavioral | PSY32039 | CA | Yes |
Practice location
5252 Balboa Ave Ste 803San Diego, CA 92117-6920
Phone 619-258-1381
Mailing address
5252 Balboa Ave Ste 803San Diego, CA 92117-6920
Phone 619-258-1381
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