Dominique Ivonne Kinney in Patton - Psychologist

Dominique Ivonne Kinney - NPI 1902012503

Dominique Ivonne Kinney is a Psychologist in Patton, California. Dominique Ivonne Kinney practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Dominique Ivonne Kinney is 1902012503. The last update date is 2013-08-08.

Dominique Ivonne Kinney's current location address is 3102 E. Highland Avenue, Patton, California. You can contact this provider via phone number 9094257679 and fax number 9094256635. The mailing address for Dominique Ivonne Kinney is 3102 E. Highland Avenue, Patton, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Dominique Ivonne Kinney
Address 3102 E. Highland Avenue, Patton, California
Phone Number 9094257679
Fax Number 9094256635
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1902012503
Provider Enumeration Date 2007-05-14
Last Updated Date 2013-08-08

Provider Mailing Address Detail

Address 3102 E. Highland Avenue
City Patton
State California (CA)
Post Code 92369
Phone Number 9094257679
Fax Number 9094256635

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 19300
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Dominique Ivonne Kinney

What is the unique 10-digit identification code issued to Dominique Ivonne Kinney by the Centers for Medicare & Medicaid Services?

The Dominique Ivonne Kinney has been assigned the NPI (National Provider Identifier) 1902012503 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Dominique Ivonne Kinney located?

The Dominique Ivonne Kinney is located at 3102 E. Highland Avenue, Patton, CA 92369.

What is Dominique Ivonne Kinney's specialized field of practice, and what is the corresponding taxonomy classification code?

The Dominique Ivonne Kinney's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.

On what date did Dominique Ivonne Kinney receive its 1902012503 assignment from the Centers for Medicare & Medicaid Services?

The Dominique Ivonne Kinney was assigned its 1902012503 on 2007-05-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Dominique Ivonne Kinney's details last updated?

The information pertaining to the Dominique Ivonne Kinney, including its address, specialty, and other details, was most recently updated on 2013-08-08.

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