Individual
KELSEY ANN HIPPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3270 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 473-6874
Mailing address
3270 KERNER BLVD, SAN RAFAEL, CA 94901-4840
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34211
CA
Other
Enumeration date
03/13/2012
Last updated
08/10/2023
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