SearchCalifornia167G00000X

Agatha Ihenacho, LPT

NPI 1871622761 · on the registry since 2007

Practice

Address
455 Silicon Valley Blvd
San Jose, CA 95138
Phone
(408) 284-9000
Organisation at this address
Sjbh, Llc
Starlight Ctf, Inc.
Starlight Adolescent Center
Precision Psychiatric Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
63

Registry record

Primary taxonomy
167G00000X
167G00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California