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Individual

DR. KIRA KRISTEN MELLUPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
411 OAK ST, CINCINNATI, OH 45219-2504
(800) 852-5678
Mailing address
26630 BARTON RD, #715, REDLANDS, CA 92373-4323
(909) 747-7616

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21787
CA

Other

Enumeration date
11/19/2008
Last updated
11/19/2008
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