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NPI Code Detail

MEDICARE: DR. KERRIE ANNE O'LEARY-SANCHEZ PSYD

MEDICARE: DR. KERRIE ANNE O'LEARY-SANCHEZ PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPSY36385CA
2103TC0700XClinical Psychologist0810007462VA

General Provider Information

NPI Number : 1669993309
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KERRIE ANNE O'LEARY-SANCHEZ PSYD
Provider Business Mailing Address
First Line : 16133 HALDANE ST
Second Line :
City : WHITTIER
State : CA
Zip : 90603-2815
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16133 HALDANE ST
Second Line :
City : WHITTIER
State : CA
Zip : 90603-2815
Country : US
Telephone Number : 276-289-0064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2017
Last Update Date : 02/02/2026

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