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Organization

KELLY KAZMIERSKI, PHD, A PSYCHOLOGY CORPORATION

Active
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Organization

KELLY KAZMIERSKI, PHD, A PSYCHOLOGY CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KELLY KAZMIERSKI PHD (PRESIDENT)
(949) 478-1337
Entity
Organization

Contact information

Practice address
4063 BIRCH ST STE 220, NEWPORT BEACH, CA 92660-2241
(949) 478-1337
Mailing address
4063 BIRCH ST STE 220, NEWPORT BEACH, CA 92660-2241
(949) 478-1337

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—

Other

Enumeration date
04/12/2023
Last updated
04/12/2023
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