Provider Demographics
NPI:1942603550
Name:BJORKLUND, RICK (PSYD)
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:
Last Name:BJORKLUND
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4728 ALLIED RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-2412
Mailing Address - Country:US
Mailing Address - Phone:619-229-1125
Mailing Address - Fax:
Practice Address - Street 1:4728 ALLIED RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-2412
Practice Address - Country:US
Practice Address - Phone:619-229-1125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-28
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16630103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical