Individual
JILL ANNE KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
4967 NEWPORT AVE STE 12, SAN DIEGO, CA 92107-3167
(559) 999-3977
Mailing address
4967 NEWPORT AVE STE 12, SAN DIEGO, CA 92107-3167
(559) 999-3977
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/28/2006
Last updated
01/22/2026
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