National Provider Identifier Database

LIGHTHOUSE PSYCHOLOGICAL SERVICES INC
Clinical

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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

LIGHTHOUSE PSYCHOLOGICAL SERVICES, INC
2525 CAMINO DEL RIO S
STE 315
SAN DIEGO, CA92108-3717
Phone: 619-347-3457
Fax: 619-584-5644
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for LIGHTHOUSE PSYCHOLOGICAL SERVICES, INC

NPI Number 1083758585
Legal business name
LBN
LIGHTHOUSE PSYCHOLOGICAL SERVICES, INC
Authorized official DANIEL JENKINS - (PSYCHOLOGIST)
Entity Organization
Organization subpart No
Enumeration date 02/16/2007
Last updated 04/06/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: PSY10627

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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