MEDICARE: DR. FRANCINE KIRKPATRICK PH.D.

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
1	103TP0814X	Psychoanalysis Psychologist	PSY4867	CA
2	103T00000X	Psychologist	PSY4867	CA

General Provider Information

NPI Number	:	1710983390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCINE KIRKPATRICK PH.D.

Provider Business Mailing Address
First Line	:	16050 ANOKA DR
Second Line	:
City	:	PACIFIC PALISADES
State	:	CA
Zip	:	90272-2410
Country	:	US
Telephone Number	:	310-454-7053
Fax Number	:

Provider Business Practice Location Address
First Line	:	16050 ANOKA DR
Second Line	:
City	:	PACIFIC PALISADES
State	:	CA
Zip	:	90272-2410
Country	:	US
Telephone Number	:	310-454-7053
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	09/11/2025

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