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

Individual provider Clinical Psychologist · NPI 1437867769

Dr. Kimberlee Dawn Derushia, PSYD is a Clinical Psychologist in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2
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

1111 W Robinhood Dr Ste G
Stockton, CA 95207-5626
Phone: (209) 701-0105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY24992 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 24992 (CA)

Record details

NPI number1437867769
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedNovember 7, 2022
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

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