Kelly Kazmierski, Phd, A Psychology Corporation | |
4063 Birch St Ste 220 Newport Beach CA 92660-2241 | |
(949) 478-1337 | |
Not Available |
Full Name | Kelly Kazmierski, Phd, A Psychology Corporation |
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Speciality | Psychologist - Clinical |
Location | 4063 Birch St Ste 220, Newport Beach, California |
Authorized Official Name and Position | Kelly Kazmierski (PRESIDENT) |
Authorized Official Contact | 9494781337 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kelly Kazmierski, Phd, A Psychology Corporation 4063 Birch St Ste 220 Newport Beach CA 92660-2241 Ph: (949) 478-1337 | Kelly Kazmierski, Phd, A Psychology Corporation 4063 Birch St Ste 220 Newport Beach CA 92660-2241 Ph: (949) 478-1337 |
NPI Number | 1932895042 |
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Provider Enumeration Date | 04/12/2023 |
Last Update Date | 04/12/2023 |
Certification Date | 04/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932895042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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