Individual provider · Type 1 NPI

Shashonk Illam, PSY.D.

Clinical Neuropsychologist · San Diego, CA

NPI number 1104432228 Active

Practice location

3990 Old Town Ave Ste C303
San Diego, CA 92110-2932

Call (858) 964-0722 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist Primary 103G00000X36902 (CA)

Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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About NPI 1104432228

Shashonk Illam, PSY.D.'s National Provider Identifier is 1104432228, issued on Sep 23, 2020. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in San Diego, CA. The record was last updated on Sep 2, 2026.