MEDICARE: MEGAN MCKELLOGG GUAJARDO PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY23450	CA

General Provider Information

NPI Number	:	1952454043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN MCKELLOGG GUAJARDO PSYD

Provider Business Mailing Address
First Line	:	3821 FRONT ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-3019
Country	:	US
Telephone Number	:	619-354-9081
Fax Number	:

Provider Business Practice Location Address
First Line	:	3821 FRONT ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-3019
Country	:	US
Telephone Number	:	619-354-9081
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	05/17/2024

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1932108867 — JAMES ESTES BUSH MD
Practice Location Address:

3805 FRONT ST
SAN DIEGO, CA
92103-3019

Practice Phone: 619-296-1519
Practice Fax:

1932192531 — DEBRA BLAY HOLMES LCSW
Practice Location Address:

3821 FRONT ST
SAN DIEGO, CA
92103-3019

Practice Phone: 619-297-0023
Practice Fax:

1427082569 — DR. THERESE REICHERT PH.D.
Practice Location Address:

3821 FRONT ST
SAN DIEGO, CA
92103-3019

Practice Phone: 619-217-0279
Practice Fax:

1457371924 — DR. CARREN JEAN STIKA PH.D.
Practice Location Address:

3821 FRONT ST
SAN DIEGO, CA
92103-3019

Practice Phone: 619-794-2059
Practice Fax:

1013080571 — MS. MARILYN PATRICIA CORNELL M.S, MFT
Practice Location Address:

3821 FRONT ST
SAN DIEGO, CA
92103-3019

Practice Phone: 619-293-0634
Practice Fax: 619-294-3225

Directions to “ MEGAN MCKELLOGG GUAJARDO PSYD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.