Wellformed AI

NPI 1265790083 · live from the CMS NPI Registry

Dean Thomas Acheson, Ph.D.

Psychologist, Clinical in San Diego, CA. National Provider Identifier 1265790083, active.

NPI record

NPI1265790083 Type 1 · individual
StatusActive
Primary specialtyPsychologist, Clinical 103TC0700X
Practice location5060 Shoreham Pl, 200, San Diego, CA 92122
Practice phone858-334-4640
Mailing addressPo Box 232410, San Diego, CA 92193
EnumeratedApril 30, 2012
Last updatedApril 26, 2017
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist, Clinical primary103TC0700XPSY23779 (CA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.