KERRY HANNIFIN, PSY.D.

Psychologist - Clinical

Active Individual
NPI: 1114068020

Practice Address

3102 E. HIGHLAND AVENUE
MEDICAL STAFF OFFICE
Patton, CA 92369

Phone: (909) 425-7679

Specialties

Specialty Code Primary License
Psychologist - Clinical 103TC0700X Yes PSY24515 (CA)
Student in an Organized Health Care Education/Training Program 390200000X No -

Frequently Asked Questions

NPI 1114068020 is the National Provider Identifier for KERRY HANNIFIN, PSY.D., a Psychologist - Clinical provider located in Patton, CA. This NPI was enumerated on February 12, 2007.
KERRY HANNIFIN, PSY.D. practices at 3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE, Patton, CA 92369.

Quick Facts

NPI
1114068020
Type
Individual
Enumerated
Feb 12, 2007
Last Updated
Jan 2, 2014

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