Individual
DR. KYANA BARAKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1452 26TH ST STE 108, SANTA MONICA, CA 90404-3085
(424) 501-6221
Mailing address
1452 26TH ST STE 108, SANTA MONICA, CA 90404-3085
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
30787
CA
Other
Enumeration date
05/28/2014
Last updated
12/06/2019
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