Individual
JESSICA ERNANDES NAECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12625 HIGH BLUFF DR STE 104, SAN DIEGO, CA 92130
(858) 209-0797
Mailing address
14023 MANGO DR APT H, DEL MAR, CA 92014-2965
(858) 209-0797
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3739
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2013
Last updated
08/01/2018
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