Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATIE JO KERIDAN, PSY.D.
Active Sole ProprietorDR. KATIE JO KERIDAN, PSY.D. is a Clinical Neuropsychologist healthcare provider located in SANTA ROSA, California. NPI 1225349145 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · SANTA ROSA, CA
Registration Details
- NPI Number
- 1225349145
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2010 (16.187080433702 yrs)
- Last Updated
- Sep 26, 2018
- License
-
PSY29632 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
825 COLLEGE AVE STE 4SANTA ROSA, CA, 954044108Browse CA providers · Browse ZIP 95404
- Phone
- 5104283000
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
Other Clinical Neuropsychologist Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD P. OLCESE | PSY.D | 1134149289 |
| DR. VERGIL HOBBS | PH.D | 1689093726 |
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.