Organization
ANDREA E KIRK PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA KIRK PHD (OWNER)
(707) 393-5475
Entity
Organization
Contact information
Practice address
309 S MAIN ST, SEBASTOPOL, CA 95472-4208
(707) 939-5475
Mailing address
309 S MAIN ST, SEBASTOPOL, CA 95472-4208
(707) 939-5475
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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