Individual
DR. LUKAS JAEGGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
427 S. MARENGO AVE #5, PASADENA, CA 91101
(626) 215-1909
Mailing address
807 ALBERTA ST, ALTADENA, CA 91001-5321
(626) 215-1909
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY21283
CA
103TC0700X
Clinical Psychologist
PSY21283
CA
Other
Enumeration date
03/26/2007
Last updated
03/17/2018
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