Most Relevant Information
Provider Data
  | NPI Number: | 1003300153 | 
| Provider Name: | JAY BETTERGARCIA PH.D. | 
| Entity Type: | Individual | 
| Taxonomy Code: | 103TC1900X | 
| Specialty: | Psychologist | 
| License Number: | 31096 | 
Most Important Dates
  | Enumeration Date: | 06/20/2018 | 
| Last Updated: | 01/24/2020 | 
Provider Practice Location
  1 GRAND AVE
      
      SAN LUIS OBISPO
      CA
      934079000
  Practice Location Phone/Fax
      | Phone: | 8052256406 | 
| Fax: | 
Provider Mailing Location
  1609 16TH ST
      
      LOS OSOS
      CA
      934021820
  Provider Mailing Phone/Fax
      | Phone: | 4153091899 | 
| Fax: |