Individual
KRISTINA AGBAYANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3801 MIRANDA AVE, PSC 117, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
3801 MIRANDA AVE, PSC 117, PALO ALTO, CA 94304-1207
(650) 493-5000
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY28060
CA
Other
Enumeration date
06/30/2016
Last updated
03/08/2017
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