Jerry Albert Kasdorf PH.D.

NPI 1629306907 - Psychologist - 103TC0700X

NPI Details
NPI 1629306907
Gender Male
Enumeration Date 11/25/2009
Last Updated 11/25/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
24511 W JAYNE AVE
5002
COALINGA CA, 93210-9503, US
Phone (559) 935-7311
Fax (559) 935-7271
Business Location
24511 WEST JAYNE AVENUE
P O BOX 5002
COALINGA CA, 93210-5002, US
Phone (559) 935-7311
Fax (559) 935-7271
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY 4865
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According to our database, Dr. Jerry Albert Kasdorf PH.D. NPI is 1629306907, taxonomy code is 103TC0700X and license number is PSY 4865, license state is located at California. Jerry Albert Kasdorf PH.D. physically located at 24511 W Jayne Ave, Coalinga CA, 93210-9503. NPI Number Jerry Albert Kasdorf PH.D. has the Individual type.

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1629306907 NPI number is provided on an as is basis without warranty of any kind. 1629306907 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Albert Kasdorf PH.D. are for informational purposes only.