Individual provider · Type 1 NPI

Brian Christopher Kersh, PhD

Health Service Psychologist · Albuquerque, NM

NPI number 1740292689 Active

Practice location

1501 San Pedro Dr SE, Bhcl (116)
Albuquerque, NM 87108-5153

Fax (505) 256-5438

Mailing address

12 Forest Rd
Tijeras, NM 87059-7447

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100X0895 (NM)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1740292689

Brian Christopher Kersh, PhD's National Provider Identifier is 1740292689, issued on Aug 12, 2006. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 8, 2007.