Liana Abascal, PH.D.
Individual provider Active NPI Clinical Psychologist · San Diego, CA
NPI 1073740569 · NPPES record last updated Feb 9, 2010
Key facts
- NPI
- 1073740569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY22748 (CA)
- Practice address
- 6496 Weathers PL
San Diego, CA 92121-2936 - Phone
- (858) 342-3747
- NPI assigned
- Jun 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY22748 | CA | MD | Clinical Psychologist |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY22748 | CA | Yes |
Addresses
Primary practice location
6496 Weathers PL
San Diego, CA 92121-2936
Mailing address
PO Box 501866
San Diego, CA 92150-1866
Phone (858) 342-3747
Other providers in San Diego, CA
- Erica Abalos
- Peter John Abanto
- Armando Abarca
- Magaly Abarca
- Kathryn H. Abare
- Rabie Nidal Abasi
- Alisha Abate
- Blaine Abate
- Diana Paula Abatecola
- Abba Transportation Services LLC
All providers in San Diego, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.