Provider Demographics
NPI:1992551808
Name:SUNNIER DAYS PSYCHOLOGY, INC.
Entity type:Organization
Organization Name:SUNNIER DAYS PSYCHOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQLYN
Authorized Official - Middle Name:QUINTINA
Authorized Official - Last Name:CREVISTON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:858-213-7243
Mailing Address - Street 1:1206 BLUE SKY DR
Mailing Address - Street 2:
Mailing Address - City:CARDIFF
Mailing Address - State:CA
Mailing Address - Zip Code:92007-1005
Mailing Address - Country:US
Mailing Address - Phone:858-213-7243
Mailing Address - Fax:
Practice Address - Street 1:1206 BLUE SKY DR
Practice Address - Street 2:
Practice Address - City:CARDIFF
Practice Address - State:CA
Practice Address - Zip Code:92007-1005
Practice Address - Country:US
Practice Address - Phone:858-213-7243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty