Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN M FAWCETT, PH.D.
Active Sole ProprietorDR. KEVIN M FAWCETT, PH.D. is a Clinical Psychologist healthcare provider located in SAN DIEGO, California. NPI 1104114206 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · SAN DIEGO, CA
Registration Details
- NPI Number
- 1104114206
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2011 (15.083207066722 yrs)
- Last Updated
- Apr 5, 2017
- License
-
PSY 24224 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3604 4TH AVESUITE 5SAN DIEGO, CA, 921034165Browse CA providers · Browse ZIP 92103
- Phone
- 6193560811
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JANET JAFFE | PH.D. | 1609879113 |
| DR. DORIAN L POLSON | PHD | 1437159001 |
| DR. ELIZABETH EARLE GREEN | PHD | 1013917368 |
| DR. MICHELE YVETTE OSTER | PSY.D. | 1295735280 |
| DR. ALAN LINCOLN | PH.D. | 1104819119 |
| DR. DENISE LEE BUCHANAN | PHD | 1093709263 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.