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General NPI Number Information
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NPI Number | 1306117981
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Entity Type | Organization
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Legal Business Name | SAN DIEGO THERAPY CENTER INC.
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Dates
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Enumeration Date | 01/13/2012
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 2271 ALPINE BLVD STE A
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City | ALPINE
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State | CA
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Zip | 91901-1101
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Country | US
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Telephone | 619-415-7639
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Fax | 888-291-4799
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Provider Business Mailing Address
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Address Line | 2271 ALPINE BLVD STE A
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City | ALPINE
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State | CA
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Zip | 91901-1101
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Country | US
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Telephone | 619-415-7639
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Fax | 888-291-4799
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTIANA KATARINA SILVA
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Credential | PH.D.
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Telephone | 619-415-7639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 21878
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License Number State | CA
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