Provider Demographics
NPI:1487273009
Name:MUNO, DEENA ANN (PSYD)
Entity type:Individual
Prefix:DR
First Name:DEENA
Middle Name:ANN
Last Name:MUNO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:DEENA
Other - Middle Name:
Other - Last Name:TROY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3427 N TWIN OAKS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-9737
Mailing Address - Country:US
Mailing Address - Phone:858-735-4446
Mailing Address - Fax:
Practice Address - Street 1:3020 CHILDRENS WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4223
Practice Address - Country:US
Practice Address - Phone:858-576-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-14
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY33531103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY33531OtherCA BOARD OF PSYCHOLOGY LICENSE NUMBER