Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Katie Jo Keridan, PSYD

Individual provider Clinical Neuropsychologist · NPI 1225349145

Dr. Katie Jo Keridan, PSYD is a Clinical Neuropsychologist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

825 College Ave Ste 4
Santa Rosa, CA 95404-4108
Phone: (510) 428-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY29632 (CA)

Record details

NPI number1225349145
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJune 24, 2010
Last updated in NPPESSeptember 26, 2018

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