IndividualActive
Ai Ikunaga, PSY.D.
NPI 1932486396 · Clinical Psychologist · Philadelphia, PA
Provider details
- NPI number
- 1932486396
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PS016968 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1518 Walnut St
Suite 607
Philadelphia, PA 19102-3419
Phone: (267) 918-1428
Approximate (ZIP-level) locationGet directions
Mailing address
1518 Walnut St
Philadelphia, PA 19102-3419
Registry dates
- Enumerated
- 2011-11-12
- Last updated
- 2014-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.