Most Relevant Information
Provider Data
| NPI Number: | 1003336868 |
| Provider Name: | PAUL KIRITSIS PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/22/2017 |
| Last Updated: | 10/13/2021 |
Provider Practice Location
111 DEERWOOD ROAD
SUITE 200
SAN RAMON
CA
945834409
Practice Location Phone/Fax
| Phone: | 9252704499 |
| Fax: | 9252704499 |
Provider Mailing Location
111 DEERWOOD ROAD
SUITE 200
SAN RAMON
CA
945834409
Provider Mailing Phone/Fax
| Phone: | 9252704499 |
| Fax: | 9252704499 |