Healthcare Provider Details

I. General information

NPI: 1144909821
Provider Name (Legal Business Name): KAYLIN GOLERKANSKY PSYD, LP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAYLIN F MILLER

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3831 HUGHES AVE STE 509
CULVER CITY CA
90232-6861
US

IV. Provider business mailing address

254 S DE LACEY AVE STE B
PASADENA CA
91105-2006
US

V. Phone/Fax

Practice location:
  • Phone: 925-282-1778
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number34572
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: