Individual provider · Type 1 NPI

Kerry A. Hannifin, PSY.D.

Clinical Psychologist · Patton, CA

NPI number 1114068020 Active

Practice location

3102 E. Highland Avenue, Medical Staff Office
Patton, CA 92369

Fax (909) 425-6635

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PSY24515 (CA)
Student in an Organized Health Care Education/Training Program	390200000X	None listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1114068020

Kerry A. Hannifin, PSY.D.'s National Provider Identifier is 1114068020, issued on Feb 12, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Patton, CA. The record was last updated on Jan 2, 2014.