Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH R. PELLETIER, PHD, MD(HC)
Active Sole ProprietorDR. KENNETH R. PELLETIER, PHD, MD(HC) is a Clinical Neuropsychologist healthcare provider located in ALAMO, California. NPI 1184748014 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · ALAMO, CA
Registration Details
- NPI Number
- 1184748014
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2007 (19.458296867797 yrs)
- Last Updated
- Nov 4, 2025
- License
-
PSY4631 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5 COUNTRY OAK LNALAMO, CA, 945072854Browse CA providers · Browse ZIP 94507
- Phone
- 9259327074
- Fax
- 9258383007
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
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.