Organization
KENNETH GARETT PHD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH GARETT PHD (PRESIDENT)
(760) 327-9566
Entity
Organization
Contact information
Practice address
225 S CIVIC DR STE 2-11, PALM SPRINGS, CA 92262-7228
(760) 327-9566
Mailing address
225 S CIVIC DR STE 2-11, PALM SPRINGS, CA 92262-7228
(760) 327-9566
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PSY5844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00PL58442
—
CA
Enumeration date
12/01/2010
Last updated
05/02/2011
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