Individual provider · Type 1 NPI

Kevin Kukoleck, PSYD

Clinical Psychologist · Travis Afb, CA

NPI number 1295821171 Active

Practice location

101 Bodin Cir
Travis Afb, CA 94535-1809

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X08214 (OH)
Clinical Psychologist Primary 103TC0700X29905 (CA)

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 1295821171

Kevin Kukoleck, PSYD's National Provider Identifier is 1295821171, issued on Oct 5, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Travis Afb, CA. The record was last updated on Sep 25, 2024.