Kathryn Marie Pedgrift in San Diego - Clinical
Kathryn Marie Pedgrift - NPI 1578609822
Kathryn Marie Pedgrift is a Clinical in San Diego, California. Kathryn Marie Pedgrift practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathryn Marie Pedgrift is 1578609822. The last update date is 2012-06-05.
Kathryn Marie Pedgrift's current location address is 10065 Old Grove Rd Ste 200, San Diego, California. You can contact this provider via phone number 8584448823 and fax number 8584448827. The mailing address for Kathryn Marie Pedgrift is 10065 Old Grove Rd Ste 200, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn Marie Pedgrift |
|---|---|
| Address | 10065 Old Grove Rd Ste 200, San Diego, California |
| Phone Number | 8584448823 |
| Fax Number | 8584448827 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1578609822 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2012-06-05 |
Provider Mailing Address Detail
| Address | 10065 Old Grove Rd Ste 200 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 9213116640 |
| Phone Number | 8584448823 |
| Fax Number | 8584448827 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 24991 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3740 | CA | -- |
Post Comment/ Review Below
What is the Kathryn Marie Pedgrift's unique identification number?
The Kathryn Marie Pedgrift has been assigned the NPI (National Provider Identifier) Number 1578609822 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kathryn Marie Pedgrift's physical address?
The Kathryn Marie Pedgrift is physically located at 10065 Old Grove Rd Ste 200, in the city of San Diego, CA, with the postal code 9213116640.
What is Kathryn Marie Pedgrift's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kathryn Marie Pedgrift is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Kathryn Marie Pedgrift receive its 1578609822 assignment from the Centers for Medicare & Medicaid Services?
The Kathryn Marie Pedgrift was assigned its 1578609822 by the Centers for Medicare & Medicaid Services on 2007-01-30.
When was the information regarding Kathryn Marie Pedgrift, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kathryn Marie Pedgrift, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-06-05.