Individual
DR. JENNA KRISTYNE OUYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., NCSP
Contact information
Practice address
4650 W SUNSET BLVD # 53, LOS ANGELES, CA 90027-6062
(323) 361-2350
Mailing address
4650 W SUNSET BLVD # 53, LOS ANGELES, CA 90027-6062
(323) 361-2350
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY26489
CA
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2012
Last updated
06/24/2016
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