Individual
EMI IIJIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1015 FREMONT AVE, 2ND FL #9, SOUTH PASADENA, CA 91030
(323) 972-7459
Mailing address
1015 FREMONT AVE, 2ND FL #9, SOUTH PASADENA, CA 91030
(323) 972-7459
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY26001
CA
Other
Enumeration date
07/16/2009
Last updated
06/11/2021
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