Kathryn Cummins
Kathryn Cummins is a Clinical Psychologist in San Pedro, California. Qualified in 2013, 13 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 13
- Licensed in
- CA
- In the registry since
- 2012
- Specialties on file
- 4
Practice location Address checks out
2403 S Moray AveSan Pedro, CA 90732-4342
Phone: (424) 488-9973
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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 PSY27282 (CA) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence PSY27282 (CA) |
| Mental Health Counselor | Taxonomy 101YM0800X · Licence PSY27282 (CA) |
| Professional Counselor | Taxonomy 101YP2500X · Licence PSY27282 (CA) |
Record details
| NPI number | 1891030391 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 10, 2012 |
| Last updated in NPPES | June 5, 2015 |
| Mailing address | 2403 S Moray Ave, San Pedro, CA 90732-4342 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in San Pedro
-
Marisa Mares, PHD
461 W 6th St Ste 204, San Pedro, CA 90731-2694 · (310) 547-0084
-
Pacifica Neuropsychology Center
461 W 6th St Ste 211, San Pedro, CA 90731-2694 · (310) 547-0084
-
Stuart M Shaffer, PHD
753 W Basin St, San Pedro, CA 90731-1301 · (310) 548-6868