Provider Demographics
NPI:1003207572
Name:DEVOR, KENDRA (PSYD)
Entity type:Individual
Prefix:DR
First Name:KENDRA
Middle Name:
Last Name:DEVOR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 BRISA FRESCA
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-3315
Mailing Address - Country:US
Mailing Address - Phone:760-505-1231
Mailing Address - Fax:
Practice Address - Street 1:22362 GILBERTO
Practice Address - Street 2:SUITE 130
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2139
Practice Address - Country:US
Practice Address - Phone:949-589-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist