Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0004X | Health Psychologist | PSY21452 | CA |
NPI | 1215131511 |
---|---|
Provider Name | Dr. Dawn S. Dilley |
First Address | San Diego, CA 92103-6325 |
Second Address | San Diego, CA 92103-6325 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2007 |
Last Update Date | 08/07/2007 |