Individual
DR. EVA BARANOFF MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
900 QUEBEC AVENUE, CORCORAN, CA 93212-9715
(559) 992-7100
Mailing address
3223 N DE WOLF AVE, FRESNO, CA 93737-9717
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY9694
CA
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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