Individual
HENGAMEH MOTAGHED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD CLINICAL PSYCHOL
Contact information
Practice address
591 CAMINO DE LA REINA, 918, SAN DIEGO, CA 92108
(619) 969-6790
(619) 294-8190
Mailing address
3488 VOYAGER CIRCLE, SAN DIEGO, CA 92130
(619) 969-6790
(619) 294-8190
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY12707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2810724
—
CA
Enumeration date
08/28/2006
Last updated
08/05/2010
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