Kathleen J Waddell in San Luis Obispo - Clinical
Kathleen J Waddell - NPI 1285629329
Kathleen J Waddell is a Clinical in San Luis Obispo, California. Kathleen J Waddell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathleen J Waddell is 1285629329. The last update date is 2007-07-08.
Kathleen J Waddell's current location address is 815 Skyline Dr, San Luis Obispo, California. You can contact this provider via phone number 8055418116 and fax number 8055420302. The mailing address for Kathleen J Waddell is 815 Skyline Dr, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen J Waddell |
|---|---|
| Address | 815 Skyline Dr, San Luis Obispo, California |
| Phone Number | 8055418116 |
| Fax Number | 8055420302 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1285629329 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 815 Skyline Dr |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934051053 |
| Phone Number | 8055418116 |
| Fax Number | 8055420302 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY5636 |
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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 unique identifier code issued to Kathleen J Waddell by the Centers for Medicare & Medicaid Services?
The Kathleen J Waddell has been assigned the NPI (National Provider Identifier) 1285629329. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kathleen J Waddell is physically located?
The Kathleen J Waddell is physically situated at the following address: 815 Skyline Dr, San Luis Obispo, CA, 934051053.
What is the Kathleen J Waddell's specialty and taxonomy code?
The Kathleen J Waddell's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Kathleen J Waddell receive the assignment of its 1285629329 from the Centers for Medicare & Medicaid Services?
The Kathleen J Waddell was issued its 1285629329 by the Centers for Medicare & Medicaid Services on 2005-09-14.
As of what date were the details related to Kathleen J Waddell most recently updated or revised?
The information pertaining to Kathleen J Waddell, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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