Individual
KENNETH MICHAEL LOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
555 CHORRO ST STE B, SAN LUIS OBISPO, CA 93405-2398
(805) 903-2074
Mailing address
PO BOX 1811, SAN LUIS OBISPO, CA 93406-1811
(805) 903-2074
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35291
CA
106H00000X
Marriage & Family Therapist
—
CA
Other
Enumeration date
08/09/2013
Last updated
09/17/2024
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