Healthcare Provider Details

I. General information

NPI: 1467978817
Provider Name (Legal Business Name): TRUE NORTH PSYCHOLOGICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2017
Last Update Date: 08/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3355 MISSION AVE STE 111
OCEANSIDE CA
92058-1327
US

IV. Provider business mailing address

PO BOX 4346
OCEANSIDE CA
92052-4346
US

V. Phone/Fax

Practice location:
  • Phone: 760-810-1440
  • Fax: 760-444-3297
Mailing address:
  • Phone: 760-810-1440
  • Fax: 760-444-3297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: FEEBY WOODEN
Title or Position: OWNER
Credential: PHD
Phone: 760-810-1440