Individual
DR. KENNETH RAY PHILIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1891 E ROSEVILLE PKWY, STE 100, ROSEVILLE, CA 95661
(916) 789-7082
(916) 797-8840
Mailing address
1891 E ROSEVILLE PKWY, STE 100, ROSEVILLE, CA 95661
(916) 789-7082
(916) 797-8840
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY17630
CA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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