Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathryn Elizabeth Vickery, PPS, NCSP

Individual provider School Psychologist · NPI 1659232254

Kathryn Elizabeth Vickery, PPS, NCSP is a School Psychologist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

1000 Yulupa Ave
Santa Rosa, CA 95405-7020
Phone: (707) 542-7375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 220162492 (CA)

Record details

NPI number1659232254
Entity typeIndividual (Type 1)
GenderFemale
Credentials PPS , NCSP
Sole proprietorNo
NPI enumeratedNovember 21, 2025
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

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