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

Individual provider Clinical Psychologist · NPI 1114068020

Kerry A Hannifin, PSYD is a Clinical Psychologist in Patton, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

3102 E Highland Avenue Medical Staff Ofc
Patton, CA 92369
Phone: (909) 425-7679
Fax: (909) 425-6635
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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 PSY24515 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114068020
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedFebruary 12, 2007
Last updated in NPPESJanuary 2, 2014

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