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Contact Information

BALES PSYCHOLOGY CLINIC
3252 HOLIDAY CT STE 114
LA JOLLA, CA92037-0027
 Phone: 619-380-0508
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adolescent and Children Mental Health

261QM0855X
 

Adult Mental Health

261QM0850X
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BALES PSYCHOLOGY CLINIC · (Female)

NPI Number 1003663220
Status Active
Credentials
Entity Individual
Enumeration date 05/06/2024
Last updated 02/19/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • CA Other 1962266973 103T00000X
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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