Hannifin, Kerry A
Hannifin, Kerry A is an individual health care provider with primary practice located at 3102 E. Highland Avenue Medical Staff Office, Patton CA 92369. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hannifin, Kerry A can be contacted via phone (909) 425-7679.Contact Information
Primary practice address
3102 E. Highland Avenue Medical Staff Office
Patton CA 92369
Phone: (909) 425-7679
Fax: (909) 425-6635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY24515 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1114068020 |
|---|---|
| LBN Legal business name | Hannifin, Kerry A |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jan 2nd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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