Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PS01787 | RI |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY31765 | CA |
NPI | 1134755630 |
---|---|
Provider Name | Dr. Sara J. Fligelman |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123-4232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2020 |
Last Update Date | 13/04/2020 |