Individual
KAYA ISHIJIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PPS
Contact information
Practice address
10170 HUENNEKENS ST, SAN DIEGO, CA 92121-2964
(619) 393-2209
Mailing address
10170 HUENNEKENS ST, SAN DIEGO, CA 92121-2964
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
250080016
CA
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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