Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Haley Kendall Provan

Individual provider Marriage & Family Therapist · NPI 1467068320

Haley Kendall Provan is a Marriage and Family Therapist in San Diego, California. Qualified in 2021, 5 years ago. Practices with Monica Perlman MD Inc, a 352-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

8885 Rio San Diego Dr Ste 367
San Diego, CA 92108-1655
Phone: (858) 232-6266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 147097 (CA)

Record details

NPI number1467068320
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 16, 2020
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Monica Perlman Md Inc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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