Individual
MS. KRIS SOURBEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LEP
Contact information
Practice address
2239 TOWNSGATE RD # 217, WESTLAKE VILLAGE, CA 91361-2405
(805) 341-5719
Mailing address
1336 N MOORPARK RD # 217, THOUSAND OAKS, CA 91360-5224
(805) 341-5719
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2777
CA
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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