Provider Demographics
NPI:1669239232
Name:KERIG, PATRICIA KAY (PHD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:KAY
Last Name:KERIG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2898 SANDPOINTE DR
Mailing Address - Street 2:
Mailing Address - City:MCKINLEYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95519-6409
Mailing Address - Country:US
Mailing Address - Phone:801-245-0189
Mailing Address - Fax:
Practice Address - Street 1:2898 SANDPOINTE DR
Practice Address - Street 2:
Practice Address - City:MCKINLEYVILLE
Practice Address - State:CA
Practice Address - Zip Code:95519-6409
Practice Address - Country:US
Practice Address - Phone:801-245-0189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7439026-2501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical