Individual
KENDRA MATOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
1001 NEEDHAM ST, MODESTO, CA 95354-0730
(209) 259-9420
Mailing address
1001 NEEDHAM ST, MODESTO, CA 95354-0730
(209) 259-9420
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSB94024818
CA
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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