Provider Demographics
NPI:1578599031
Name:CASMAR, POLLYANNA V (PHD)
Entity Type:Individual
Prefix:
First Name:POLLYANNA
Middle Name:V
Last Name:CASMAR
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Gender:F
Credentials:PHD
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Mailing Address - Street 1:VA SAN DIEGO HEALTHCARE SYSTEM
Mailing Address - Street 2:3350 LA JOLLA VILLAGE DRIVE
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92161-0001
Mailing Address - Country:US
Mailing Address - Phone:858-552-8585
Mailing Address - Fax:858-552-4315
Practice Address - Street 1:4452 PARK BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92116-4051
Practice Address - Country:US
Practice Address - Phone:619-297-0650
Practice Address - Fax:619-297-0650
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling