Individual
MRS. CYNTHIA HOLLOWAY KELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
78365 HIGHWAY 111 # 138, LA QUINTA, CA 92253-2071
(442) 529-1866
Mailing address
78365 HIGHWAY 111 # 138, LA QUINTA, CA 92253-2071
(442) 529-1866
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2012665
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/12/2011
Last updated
10/25/2024
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