KERRY A HANNIFIN

PATTON, CA
NPI1114068020
Former NameKERRY A PARTIKA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY24515)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2007-02-12
Last Update Date2014-01-02
Business Address
-- KERRY A HANNIFIN Psy.D.
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE
PATTON, CA 92369
Phone number: 909-425-7679
Mailing Address
-- KERRY A HANNIFIN Psy.D.
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE
PATTON, CA 92369
Phone number: 909-425-7679