Doctor Name: | CECILY A RESNICK |
NPI Number: | 1023122579 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | PSY16956 |
Business Practice Address: | 1991 Village Park Way Ste 150 Encinitas, CA - 920241940 |
Business Phone Number: | 7604453737 |
Business Fax Number: | 7609441501 |
Mailing Address: | Po Box 235755, ENCINITAS |
State: | CA |
Postal Code: | 920235755 |
Phone Number: | 7604453737 |
Fax Number: | 7609441501 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 08/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY16956 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |