Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jennifer Ly, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1306131503

Dr. Jennifer Ly, PHD is a Clinical Child & Adolescent Psychologist in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

675 18th St
San Francisco, CA 94143-3134
Phone: (415) 476-3658
Fax: (415) 502-6361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 27393 (CA)

Record details

NPI number1306131503
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 15, 2011
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023

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