Individual
MARINA KAMINETSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1121 MAIDU DR, AUBURN, CA 95603-5808
(530) 888-1118
Mailing address
PO BOX 513, ROCKLIN, CA 95677-0513
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
29179
CA
103T00000X
Psychologist
29179
CA
Other
Enumeration date
10/02/2017
Last updated
02/11/2022
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