Ericka Violet Kis PHD

NPI 1265750137 - Psychologist - 103TC0700X

NPI Details
NPI 1265750137
Gender Female
Enumeration Date 05/17/2010
Last Updated 05/17/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
PATTON CA, 92369-7813, US
Phone (909) 425-7552
Fax (909) 425-6407
Business Location
1600 9TH ST STE 205
SACRAMENTO CA, 95814-6435, US
Phone (916) 654-2431
Fax (916) 654-3186
Taxonomy Code 103TC0700X
License State California
License Number PSY 22828
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According to our database, Ericka Violet Kis PHD NPI is 1265750137, taxonomy code is 103TC0700X and license number is PSY 22828, license state is located at California. Ericka Violet Kis PHD physically located at 3102 E Highland Ave, Patton CA, 92369-7813. NPI Number Ericka Violet Kis PHD has the Individual type.

1265750137 NPI number is provided on an as is basis without warranty of any kind. 1265750137 is maintained by the National Plan & Provider Enumeration System. The contents of Ericka Violet Kis PHD are for informational purposes only.