Dr Kevin M Fawcett, PHD - Psychologist in San Diego, CA

Dr Kevin M Fawcett, PHD is a Psychologist - Clinical based in San Diego, California. Dr Kevin M Fawcett is licensed to practice in California (license number PSY 24224) and his current practice location is 3604 4th Ave, Suite 5, San Diego, California. He can be reached at his office (for appointments etc.) via phone at (619) 356-0811.

NPI number for Dr Kevin M Fawcett is 1104114206 and his current mailing address is 3604 4th Ave, Suite 5, San Diego, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104114206.

Contact Information

Dr Kevin M Fawcett, PHD
3604 4th Ave, Suite 5,
San Diego, CA 92103-4165
(619) 356-0811
Not Available



Healthcare Provider's Profile

Full NameDr Kevin M Fawcett
GenderMale
SpecialityPsychologist - Clinical
Location3604 4th Ave, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104114206
  • Provider Enumeration Date: 07/11/2011
  • Last Update Date: 04/05/2017

Medical Identifiers

Medical identifiers for Dr Kevin M Fawcett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104114206NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY 24224 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kevin M Fawcett is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kevin M Fawcett, PHD
3604 4th Ave, Suite 5,
San Diego, CA 92103-4165

Ph: (619) 356-0811
Dr Kevin M Fawcett, PHD
3604 4th Ave, Suite 5,
San Diego, CA 92103-4165

Ph: (619) 356-0811

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› Verified 3 days ago


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