Individual
AMANDA KAY KHOZOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
480 ALTA RD, SAN DIEGO, CA 92179-0001
(619) 661-6500
Mailing address
1625 SANTA VENETIA ST APT 7302, CHULA VISTA, CA 91913-3159
(516) 524-1589
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY35690
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
06/09/2022
Last updated
03/18/2025
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