Jason Amed Richardson
Psychologist
1738 S Tremont St
Oceanside
, California 92054-5309
Jason Amed Richardson
Psychologist
1738 S Tremont St
Oceanside
, California 92054-5309
(760) 230-4274
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Jason Amed Richardson
- 2734 Loker Ave W Suite L
- Carlsbad, CA
- Zip : 92010-6627
- Fax : (760) 230-4274
- Phone : (760) 230-4274
Second Address
- Jason Amed Richardson
- 1738 S Tremont St
- Oceanside, CA
- Zip : 92054-5309
- Phone : (760) 439-2800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | PSY 24583 | CA |
| Y | 103T00000X | Psychologist | PSY 24583 | CA |
National Provider Identifier
| NPI | 1003135666 |
|---|---|
| Provider Name | Jason Amed Richardson |
| First Address | Carlsbad, CA 92010-6627 |
| Second Address | Oceanside, CA 92054-5309 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2010 |
| Last Update Date | 29/09/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.