IndividualActive
Anna Basanty, PH.D.
NPI 1861215048 · Clinical Child & Adolescent Psychologist · San Diego, CA
Provider details
- NPI number
- 1861215048
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PSY35341 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
12625 High Bluff Dr Ste 204
San Diego, CA 92130-2053
Phone: (858) 692-4187
Approximate (ZIP-level) locationGet directions
Mailing address
2562 Northside Dr
San Diego, CA 92108-6783
Registry dates
- Enumerated
- 2024-11-05
- Last updated
- 2024-11-05
- Certified
- 2024-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.