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NPI Code Detail

MEDICARE: SAN DIEGO BRAINWORKS PSYCHOLOGY & NEUROPSYCHOLOGY SERVICES

MEDICARE: SAN DIEGO BRAINWORKS PSYCHOLOGY & NEUROPSYCHOLOGY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103G00000XClinical Neuropsychologist
2103T00000XPsychologist

General Provider Information

NPI Number : 1427458710
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAN DIEGO BRAINWORKS PSYCHOLOGY & NEUROPSYCHOLOGY SERVICES
Provider Business Mailing Address
First Line : 6190 CORNERSTONE CT E STE 216
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-4701
Country : US
Telephone Number : 858-914-1347
Fax Number :
Provider Business Practice Location Address
First Line : 6190 CORNERSTONE CT E STE 216
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-4701
Country : US
Telephone Number : 858-914-1347
Fax Number :
Authorized Official
Title or Position : CLINICAL PSYCHOLOGIST
Name : ERIN ALMKLOV
Credential : PH.D.
Telephone Number : 661-340-1560
Provider Enumeration Date : 08/25/2014
Last Update Date : 06/27/2025

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