Provider Demographics
NPI:1336284512
Name:SLALI, BAPSI A (PHD)
Entity Type:Individual
Prefix:DR
First Name:BAPSI
Middle Name:A
Last Name:SLALI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3645 RUFFIN RD
Mailing Address - Street 2:STE 205
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1887
Mailing Address - Country:US
Mailing Address - Phone:858-569-2055
Mailing Address - Fax:858-569-2061
Practice Address - Street 1:3645 RUFFIN RD
Practice Address - Street 2:STE 205
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1887
Practice Address - Country:US
Practice Address - Phone:858-569-2055
Practice Address - Fax:858-569-2061
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7103103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP7103Medicare ID - Type Unspecified