MEDICARE: DONICA DOHRENWEND PHD

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	103T00000X	Psychologist	PSY 27969	CA

General Provider Information

NPI Number	:	1215263439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONICA DOHRENWEND PHD

Provider Business Mailing Address
First Line	:	6265 GREENWICH DR STE 230
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-5921
Country	:	US
Telephone Number	:	858-877-3601
Fax Number	:

Provider Business Practice Location Address
First Line	:	6265 GREENWICH DR STE 230
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-5921
Country	:	US
Telephone Number	:	858-877-3601
Fax Number	:

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

Provider Enumeration Date	:	10/22/2009
Last Update Date	:	01/10/2026

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Directions to “ DONICA DOHRENWEND PHD” Practice Location

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