Kerry A Hannifin, PSY.D.

NPI #1114068020 in Patton, California

Provider Information

NPI Number
1114068020
Entity Type
Individual
Name
Kerry A Hannifin, PSY.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PSY.D.
Enumeration Date
Feb 12, 2007
Last Updated
Jan 2, 2014

Practice Location

Address
3102 E. HIGHLAND AVENUE
Address 2
MEDICAL STAFF OFFICE
City
Patton
ZIP Code
92369
Phone
(909) 425-7679

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical
Student in an Organized Health Care Education/Training Program

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