MICHAEL ICHINAGA

SAN JOSE, CA
NPI1700035672
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: CA  PSY12062)
Enumeration Date2008-09-15
Last Update Date2008-09-15
Business Address
MICHAEL ICHINAGA PH.D.
828 S BASCOM AVE
SAN JOSE, CA 95128-2651
Phone number: 408-885-5776
Mailing Address
MICHAEL ICHINAGA PH.D.
1901 HALFORD AVE APT 185
SANTA CLARA, CA 95051-7413
Phone number: 408-261-2284
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