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Search › California › 171M00000X

Bethany Souza

NPI 1558772467 · on the registry since 2014

Practice

Address
968 Corte Maria Ave
Chula Vista, CA 91911
Phone
(619) 754-9551
Organisation at this address
San Diego Youth Services
San Diego Youth Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California