Provider Demographics
NPI:1881888725
Name:PSYCHOLOGICAL & FAMILY SUPPORT SERVICES, INC
Entity type:Organization
Organization Name:PSYCHOLOGICAL & FAMILY SUPPORT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPALEO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:619-589-0552
Mailing Address - Street 1:1704 GUAVA LN
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-8328
Mailing Address - Country:US
Mailing Address - Phone:619-589-0552
Mailing Address - Fax:619-589-0205
Practice Address - Street 1:5400 CONNECTICUT AVE
Practice Address - Street 2:SUITE E
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-1213
Practice Address - Country:US
Practice Address - Phone:619-589-0552
Practice Address - Fax:800-334-1041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7515103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty