Provider Demographics
NPI:1053687129
Name:HOPE AND STRENGTH PSYCHOLOGICAL SERVICES ,PC
Entity Type:Organization
Organization Name:HOPE AND STRENGTH PSYCHOLOGICAL SERVICES ,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:LASS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:619-533-6089
Mailing Address - Street 1:PO BOX 6790
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92166-0790
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1122 BROADWAY STE 200
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-5629
Practice Address - Country:US
Practice Address - Phone:619-533-6089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 23820251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health