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Individual

DR. KEVIN PATRICK COMARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
5905 SOQUEL DR STE 600, SOQUEL, CA 95073-2861
(408) 455-0197
Mailing address
741 CLUBHOUSE DR, APTOS, CA 95003-5457
(408) 455-0197

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
103TM1800X
Intellectual & Developmental Disabilities Psychologist
103TS0200X
School Psychologist
Primary
3861
CA

Other

Enumeration date
01/22/2024
Last updated
01/22/2024
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