Kathryn Cummins

NPI #1891030391 in San Pedro, California

Provider Information

NPI Number: 1891030391
Entity Type: Individual
Name: Kathryn Cummins
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinical Neuropsychologist
Enumeration Date: Dec 10, 2012
Last Updated: Jun 5, 2015

Practice Location

Address: 2403 S MORAY AVE
City: San Pedro
State: California
ZIP Code: 90732-4342
Phone: (424) 488-9973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Neuropsychologist	103G00000X	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X

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Organizations

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