MICHAEL ICHIYAMA

SAN DIEGO, CA
NPI1932856341
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY15294)
Enumeration Date2022-03-05
Last Update Date2022-03-05
Business Address
Dr. MICHAEL ICHIYAMA Ph.D.
5998 ALCALA PARK
SAN DIEGO, CA 92110-8001
Phone number: 858-245-4936
Mailing Address
Dr. MICHAEL ICHIYAMA Ph.D.
6615 CANYON RIM ROW UNIT 153
SAN DIEGO, CA 92111-7441
Phone number: 858-245-4936
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