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Contact Information

GINA NEIKIRK
33562 YUCAIPA BLVD # 4-133
YUCAIPA, CA92399-2072
 Phone: 909-583-4040
 Fax: 909-217-3456
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Behavior Analyst

103K00000X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GINA NEIKIRK · (Female)

NPI Number 1740554757
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2012
Last updated 03/08/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • License # 1-10-7155
  • CA License # PSY18601
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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