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Michael Ichinaga, PHD
Clinical Psychologist in San Jose, California
NPI 1700035672

Michael Ichinaga is a Clinical Psychologist based in Santa Clara, CA and is specialized in Clinical. Michael Ichinaga practices in San Jose, CA and has the professional credentials of PHD. The NPI Number for Michael Ichinaga is 1700035672 and holds a License No. PSY12062 (California).

The current practice location address for Michael Ichinaga is 828 S Bascom Ave, San Jose, CA and can be reached out via phone at 408-885-5776.

Location: 828 S Bascom Ave, San Jose, CA, 95051-7413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700035672
Provider Name
Michael Ichinaga
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
828 S Bascom Ave, San Jose, CA, 95051-7413
Phone Number
408-885-5776
Fax Number
Provider Enumeration Date
09/15/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
828 S Bascom Ave
City
San Jose
State
California
Zip
95128-2651
Phone Number
408-885-5776
Fax Number
person
Provider Business Mailing Address Details
Address
828 S Bascom Ave
City
San Jose
State
California
Zip
95128-2651
Phone Number
408-885-5776
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY12062 (California)
Definition
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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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