Provider Demographics
NPI:1689038192
Name:KIRSTIN FILIZETTI, PHD
Entity Type:Organization
Organization Name:KIRSTIN FILIZETTI, PHD
Other - Org Name:KIRSTIN FILIZETTI, PHD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRSTIN
Authorized Official - Middle Name:G
Authorized Official - Last Name:FILIZETTI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:619-940-7774
Mailing Address - Street 1:2535 CAMINO DEL RIO S
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3754
Mailing Address - Country:US
Mailing Address - Phone:619-940-7774
Mailing Address - Fax:619-377-6701
Practice Address - Street 1:2535 CAMINO DEL RIO S
Practice Address - Street 2:SUITE 106
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3754
Practice Address - Country:US
Practice Address - Phone:619-940-7774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY25099103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty