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Individual

NIKA KALYNOVSKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4400
Mailing address
15339 SATICOY ST, VAN NUYS, CA 91406-3345
(818) 267-2681
(818) 267-2771

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5214
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/28/2016
Last updated
09/18/2025
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