Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN JERVIK, PHD
ActiveMR. KEVIN JERVIK, PHD is a Child, Clinical Psychologist healthcare provider located in SAN PEDRO, California. NPI 1306964655 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · SAN PEDRO, CA
Registration Details
- NPI Number
- 1306964655
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2007 (19.433034141769 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PSY 19560 (CA)
Practice Information
- Address
-
411 N HARBOR BLVDSUITE 300SAN PEDRO, CA, 907312200Browse CA providers · Browse ZIP 90731
- Phone
- 3108333696
- Fax
- 3108333572
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
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.