Healthcare Provider Details

I. General information

NPI: 1457552267
Provider Name (Legal Business Name): JENNIFER ELAINE ALQUIJAY PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 N EL MOLINO AVE
PASADENA CA
91101-1105
US

IV. Provider business mailing address

655 N EL MOLINO AVE
PASADENA CA
91101-1105
US

V. Phone/Fax

Practice location:
  • Phone: 562-512-2850
  • Fax:
Mailing address:
  • Phone: 562-512-2850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 19035
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: