Provider Demographics
NPI:1215131560
Name:DEFRANCESCO, DAVID P (PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:P
Last Name:DEFRANCESCO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1337 CAMINO DEL MAR
Mailing Address - Street 2:SUITE E
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2504
Mailing Address - Country:US
Mailing Address - Phone:619-301-8841
Mailing Address - Fax:858-755-9010
Practice Address - Street 1:46145 MIRAMAR WAY
Practice Address - Street 2:SUITE 2
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92145-5498
Practice Address - Country:US
Practice Address - Phone:858-577-7043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY15258103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical