Organization
MK NEUROPSYCHOLOGY SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA KAMINETSKAYA PH.D. (NEUROPSYCHOLOGIST/PRESIDENT)
(916) 672-1427
Entity
Organization
Contact information
Practice address
6520 LONETREE BLVD STE 1021, ROCKLIN, CA 95765-5874
(916) 672-1427
Mailing address
6520 LONETREE BLVD STE 1021, ROCKLIN, CA 95765-5874
(916) 672-1427
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
01/16/2018
Last updated
01/29/2018
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