Individual
GINA NEIKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33562 YUCAIPA BLVD # 4-133, YUCAIPA, CA 92399-2072
(909) 583-4040
(909) 217-3456
Mailing address
33562 YUCAIPA BLVD # 4-133, YUCAIPA, CA 92399-2072
(909) 583-4040
(909) 217-3456
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-10-7155
—
103T00000X
Psychologist
Primary
PSY18601
CA
103TC0700X
Clinical Psychologist
PSY18601
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY18601
CA
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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