Individual
DR. KRISTEN DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
353 H ST, CHULA VISTA, CA 91910-5501
(619) 476-6078
Mailing address
353 H ST, CHULA VISTA, CA 91910-5501
(619) 476-6078
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY31642
CA
103TC0700X
Clinical Psychologist
PSY31642
CA
Other
Enumeration date
06/24/2020
Last updated
10/30/2022
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