| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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