Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kearney Nicole Visser, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1265508824

Dr. Kearney Nicole Visser, PHD is a Clinical Child & Adolescent Psychologist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

12655 W Washington Blvd Ste 208
Los Angeles, CA 90066-2395
Phone: (310) 409-5463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence PSY23855 (CA)

Record details

NPI number1265508824
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 27, 2006
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020

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