DR. Jenna Khoury Mogannam, PHD
NPI #1215644463 in San Mateo, California
Provider Information
- NPI Number
- 1215644463
- Entity Type
- Individual
- Name
- DR. Jenna Khoury Mogannam, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PHD
- Enumeration Date
- Oct 27, 2022
- Last Updated
- Oct 27, 2022
Practice Location
- Address
- 116 E 25TH AVE STE C
- City
- San Mateo
- State
- California
- ZIP Code
- 94403-2596
- Phone
- (415) 238-8513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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