Most Relevant Information
Provider Data
| NPI Number: | 1003421256 |
| Provider Name: | JESSICA LYNETTE MONTOYA PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 31647 |
Most Important Dates
| Enumeration Date: | 09/14/2020 |
| Last Updated: | 10/28/2020 |
Provider Practice Location
200 W ARBOR DR
SAN DIEGO
CA
921039000
Practice Location Phone/Fax
| Phone: | 8009268273 |
| Fax: | 8885398781 |
Provider Mailing Location
PO BOX 232410
SAN DIEGO
CA
921932410
Provider Mailing Phone/Fax
| Phone: | 8009268273 |
| Fax: |