Organization
KERRY A. HANNIFIN, PSY.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY A HANNIFIN PSY.D. (PSYCHOLOGIST/PRESIDENT)
(310) 710-3027
Entity
Organization
Contact information
Practice address
1850 E WASHINGTON ST, COLTON, CA 92324-4621
(844) 374-6336
Mailing address
8780 19TH ST STE 411, ALTA LOMA, CA 91701-4608
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY24515
CA
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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