Provider Demographics
NPI:1689375073
Name:SALUBRIOUS THERAPY
Entity Type:Organization
Organization Name:SALUBRIOUS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:C
Authorized Official - Last Name:MULLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:415-378-8666
Mailing Address - Street 1:11956 BERNARDO PLAZA DR # 402
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2538
Mailing Address - Country:US
Mailing Address - Phone:858-859-0896
Mailing Address - Fax:
Practice Address - Street 1:2700 FIELDBROOK WAY
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92027-1889
Practice Address - Country:US
Practice Address - Phone:858-859-0896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty