Individual
DR. MARIAM A. HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3990 OLD TOWN AVE STE C303, SAN DIEGO, CA 92110-2932
(858) 964-0722
(866) 437-0375
Mailing address
3990 OLD TOWN AVE STE C303, SAN DIEGO, CA 92110-2932
(858) 964-0722
(866) 437-0375
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
12/18/2024
Last updated
02/12/2026
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