Doctor Name: | DR. SAGE DEBEIXEDON BRESLIN |
NPI Number: | 1144245515 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 1634 |
Business Practice Address: | 990 Highland Dr Suite 100 Solana Beach, CA - 920752408 |
Business Phone Number: | 8584818810 |
Business Fax Number: | 8584818816 |
Mailing Address: | 990 Highland Dr, Suite 100 SOLANA BEACH |
State: | CA |
Postal Code: | 920752408 |
Phone Number: | 8584818810 |
Fax Number: | 8584818816 |
NPI Enumeration Date: | 07/13/2006 |
NPI Last Update Date: | 03/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 1634 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |