Individual provider · Type 1 NPI

Jenna Khoury Mogannam, PhD

Clinical Psychologist · San Mateo, CA

NPI number 1215644463 Active

Practice location

116 E 25th Ave Ste C
San Mateo, CA 94403-2596

Call (415) 238-8513 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X33668 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1215644463

Jenna Khoury Mogannam, PhD's National Provider Identifier is 1215644463, issued on Oct 27, 2022. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Mateo, CA. The record was last updated on Oct 27, 2022.