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Dr. Viktor Yetimovich Kagan
Clinical Psychologist in San Diego, California
NPI 1700821410

Viktor Yetimovich Kagan is a Clinical Psychologist based in Richardson, CA and is specialized in Clinical. Viktor Yetimovich Kagan practices in San Diego, CA. The NPI Number for Viktor Yetimovich Kagan is 1700821410 and holds a License No. 32375 (California).

The current practice location address for Viktor Yetimovich Kagan is 4715 Viewridge Ave, San Diego, CA and can be reached out via phone at 800-257-8715 and via fax at 800-819-1655.

Location: 4715 Viewridge Ave, San Diego, CA, 75083-5062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700821410
Provider Name
Viktor Yetimovich Kagan
Credential
Provider Entity Type
Individual
Gender
Male
Address
4715 Viewridge Ave, San Diego, CA, 75083-5062
Phone Number
800-257-8715
Fax Number
800-819-1655
Provider Enumeration Date
06/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00140372 01 TX RAIL ROAD
168675001 05 TX
86918A 01 TX BLUE CROSS BLUE SHIELD
168675002 05 TX
institution
Provider Business Practice Location Address Details
Address
4715 Viewridge Ave
City
San Diego
State
California
Zip
92123-1658
Phone Number
800-257-8715
Fax Number
800-819-1655
person
Provider Business Mailing Address Details
Address
4715 Viewridge Ave
City
San Diego
State
California
Zip
92123-1658
Phone Number
800-257-8715
Fax Number
800-819-1655
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
32375 (Texas)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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