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Contact Information

KEVIN P COMARTIN, PSYD
5905 SOQUEL DR STE 600
SOQUEL, CA95073-2861
 Phone: 408-455-0197
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KEVIN P COMARTIN · (Male)

NPI Number 1952162414
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 01/22/2024
Last updated 01/22/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 3861
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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