Individual
DR. JENNIFER LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
675 18TH STREET, SAN FRANCISCO, CA 94143-3134
(415) 476-3658
(415) 502-6361
Mailing address
675 18TH STREET, BOX 3136, SAN FRANCISCO, CA 94143-3134
(415) 476-3658
(415) 502-6361
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
27393
CA
Other
Enumeration date
06/15/2011
Last updated
06/01/2023
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