Organization
CHILD & FAMILY PSYCHOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EARL KIRK PH.D (PRESIDENT)
(661) 833-5890
Entity
Organization
Contact information
Practice address
5500 MING AVE, SUITE 120, BAKERSFIELD, CA 93309-4689
(661) 833-5890
(661) 833-5892
Mailing address
5500 MING AVE, SUITE 120, BAKERSFIELD, CA 93309-4689
(661) 833-5890
(661) 833-5892
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY13717
CA
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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