Kathleen Marie Puleo in Porter Ranch - Clinical
Kathleen Marie Puleo - NPI 1114113149
Kathleen Marie Puleo is a Clinical in Porter Ranch, California. Kathleen Marie Puleo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathleen Marie Puleo is 1114113149. The last update date is 2009-06-17.
Kathleen Marie Puleo's current location address is 18825 Nau Ave, Porter Ranch, California. You can contact this provider via phone number 8183601663. The mailing address for Kathleen Marie Puleo is 18825 Nau Ave, Porter Ranch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Marie Puleo |
|---|---|
| Address | 18825 Nau Ave, Porter Ranch, California |
| Phone Number | 8183601663 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1114113149 |
|---|---|
| Provider Enumeration Date | 2007-09-24 |
| Last Updated Date | 2009-06-17 |
Provider Mailing Address Detail
| Address | 18825 Nau Ave |
|---|---|
| City | Porter Ranch |
| State | California (CA) |
| Post Code | 91326 |
| Phone Number | 8183601663 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY22642 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Kathleen Marie Puleo's unique identification number?
The Kathleen Marie Puleo has been assigned the NPI (National Provider Identifier) Number 1114113149 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Kathleen Marie Puleo?
The Kathleen Marie Puleo is situated at 18825 Nau Ave, in the city of Porter Ranch, state of CA, with the zip code 91326.
What is the Kathleen Marie Puleo's specialty and taxonomy code?
The Kathleen Marie Puleo's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Kathleen Marie Puleo receive the assignment of its 1114113149 from the Centers for Medicare & Medicaid Services?
The Kathleen Marie Puleo was issued its 1114113149 by the Centers for Medicare & Medicaid Services on 2007-09-24.
As of what date was the information pertaining to Kathleen Marie Puleo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kathleen Marie Puleo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-06-17.