Individual
JILL ELIZABETH WECKERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2351 CARDINAL LN, ANNEX B, SAN DIEGO, CA 92123-3743
(619) 347-4496
(858) 496-2116
Mailing address
2351 CARDINAL LN, ANNEX B, SAN DIEGO, CA 92123-3743
(619) 347-4496
(858) 496-2116
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY 17507
CA
103T00000X
Psychologist
PSY 17507
CA
Other
Enumeration date
02/14/2007
Last updated
09/11/2025
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