Individual
DR. KYLE SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1 WASHINGTON SQ, SAN JOSE, CA 95192-0035
(408) 924-5678
Mailing address
1 WASHINGTON SQ, SAN JOSE, CA 95192-0035
(408) 924-5678
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
CA
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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