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General NPI Number Information
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NPI Number | 1124975578
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGY 360, INC.
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 6265 GREENWICH DR STE 230
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City | SAN DIEGO
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State | CA
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Zip | 92122-5921
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Country | US
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Telephone | 858-877-0314
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Fax |
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Provider Business Mailing Address
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Address Line | 6265 GREENWICH DR STE 230
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City | SAN DIEGO
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State | CA
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Zip | 92122-5921
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Country | US
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Telephone | 858-877-0314
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Fax |
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Authorized Official
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Title or Position | FOUNDER/DIRECTOR
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Name | DONICA DOHRENWEND
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Credential | PHD
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Telephone | 858-877-0314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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