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Search › California › 103TC0700X

Kimberlee Derushia, PSYD

NPI 1437867769 · on the registry since 2022 · sole proprietor

Practice

Address
1111 W Robinhood Dr Ste G
Stockton, CA 95207
Phone
(209) 701-0105
Organisation at this address
Pacific Medical, Inc
Michele Thomason, Ph.D.
Legacy Home Health, Inc.
Quinn Q Nguyen Optometry Inc
Icare Management Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103TC0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California