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NPI Code Detail

MEDICARE: MICHAEL JAMES MAJESKI PSY.D.

MEDICARE:   MICHAEL JAMES MAJESKI  PSY.D.
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
1103T00000XPsychologistPSY20174CA

General Provider Information

NPI Number : 1932132735
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JAMES MAJESKI PSY.D.
Provider Business Mailing Address
First Line : 3707 THIRD AVENUE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103
Country : US
Telephone Number : 619-322-6976
Fax Number : 619-445-3261
Provider Business Practice Location Address
First Line : 3707 3RD AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-4111
Country : US
Telephone Number : 619-322-6976
Fax Number : 619-718-6447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2006
Last Update Date : 02/13/2009

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