| Andrea E Kirk Phd | |
|
309 S Main St Sebastopol CA 95472-4208 | |
| (707) 939-5475 | |
| Not Available |
| Full Name | Andrea E Kirk Phd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 309 S Main St, Sebastopol, California |
| Authorized Official Name and Position | Andrea Kirk (OWNER) |
| Authorized Official Contact | 7073935475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea E Kirk Phd 309 S Main St Sebastopol CA 95472-4208 Ph: (707) 939-5475 | Andrea E Kirk Phd 309 S Main St Sebastopol CA 95472-4208 Ph: (707) 939-5475 |
| NPI Number | 1306601158 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306601158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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