Elizabeth Tec, PPS
Individual provider Active NPI School Psychologist · San Ysidro, CA
NPI 1982811386 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982811386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- Practice address
- 4350 Otay Mesa Rd
San Ysidro, CA 92173-1617 - Phone
- (619) 428-4476
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070170183 | CA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Ysidro School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | CA | Yes |
Addresses
Primary practice location
4350 Otay Mesa Rd
San Ysidro, CA 92173-1617
Mailing address
3454 Del Sol Blvd Apt L
San Diego, CA 92154-3507
Phone (619) 690-3624
Other providers in San Ysidro, CA
- Jayson Wayne Paul Stilwell
- Elissa Kim Sullivan
- Ramon Sy
- Gregory A Talavera
- Lo Fu Tan
- Francisco Javier Tejeda
- Celeste Carina Torres
- Jennifer N Torres
- Nha Thi Tran
- Philip Maurice Truitt
All providers in San Ysidro, CA · School 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 Jul 8, 2007. 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.