Provider Demographics
NPI:1568482040
Name:DRUMMOND, SEAN PATRICK ANDREWS (PHD)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:PATRICK ANDREWS
Last Name:DRUMMOND
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3350 LA JOLLA VILLAGE DR
Mailing Address - Street 2:MC151B, BLD 13, 3RD FLOOR
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92161-0002
Mailing Address - Country:US
Mailing Address - Phone:858-642-1274
Mailing Address - Fax:858-458-4201
Practice Address - Street 1:3350 LA JOLLA VILLAGE DR
Practice Address - Street 2:MC151B, BLD 13, 3RD FLOOR
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92161-0002
Practice Address - Country:US
Practice Address - Phone:858-642-1274
Practice Address - Fax:858-458-4201
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20288103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical