Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Etianne Camille Manetta, PSYD

Individual provider Clinical Psychologist · NPI 1669207510

Etianne Camille Manetta, PSYD is a Clinical Psychologist in San Diego, California. Qualified in 2022, 4 years ago. Practices with Daniel Blaess, Ph D , Psychologist, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2024
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1350 Columbia St Unit 402
San Diego, CA 92101-3455
Phone: (619) 393-1447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY35217 (CA)

Record details

NPI number1669207510
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedSeptember 2, 2024
Last updated in NPPESSeptember 2, 2024
Certification dateSeptember 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Daniel Blaess, Ph.D., Psychologist, Inc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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