Healthcare Provider Details

I. General information

NPI: 1740994565
Provider Name (Legal Business Name): KATALIN RESZEGI PHD, LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2023
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 SANTA FE DR STE 200
ENCINITAS CA
92024-5137
US

IV. Provider business mailing address

PO BOX 2071
VALLEY CENTER CA
92082-2071
US

V. Phone/Fax

Practice location:
  • Phone: 858-279-1223
  • Fax:
Mailing address:
  • Phone: 760-889-7771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number33901
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: