| Kerry A. Hannifin, Psy.d., Inc. | |
|
1850 E Washington St Colton CA 92324-4621 | |
| (844) 374-6336 | |
| Not Available |
| Full Name | Kerry A. Hannifin, Psy.d., Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1850 E Washington St, Colton, California |
| Authorized Official Name and Position | Kerry A Hannifin (PSYCHOLOGIST/PRESIDENT) |
| Authorized Official Contact | 3107103027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry A. Hannifin, Psy.d., Inc. 8780 19th St Ste 411 Alta Loma CA 91701-4608 Ph: () - | Kerry A. Hannifin, Psy.d., Inc. 1850 E Washington St Colton CA 92324-4621 Ph: (844) 374-6336 |
| NPI Number | 1114439890 |
|---|---|
| Provider Enumeration Date | 11/02/2017 |
| Last Update Date | 11/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114439890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY24515 (California) | Primary |
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