Individual
EDNA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
100 E THOUSAND OAKS BLVD STE 217, THOUSAND OAKS, CA 91360-8177
(818) 371-8818
(805) 778-1061
Mailing address
100 E THOUSAND OAKS BLVD STE 217, THOUSAND OAKS, CA 91360-8177
(818) 371-8818
(805) 778-1061
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14574
CA
Other
Enumeration date
09/25/2006
Last updated
09/11/2020
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