Kathleen M Condon in Santa Cruz - Psychologist
Kathleen M Condon - NPI 1053580308
Kathleen M Condon is a Psychologist in Santa Cruz, California. Kathleen M Condon practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kathleen M Condon is 1053580308. The last update date is 2023-08-29.
Kathleen M Condon's current location address is 1080 Emeline Avenue, Santa Cruz, California. You can contact this provider via phone number 8314544872 and fax number 8314544296. The mailing address for Kathleen M Condon is 1080 Emeline Avenue, Santa Cruz, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen M Condon |
|---|---|
| Address | 1080 Emeline Avenue, Santa Cruz, California |
| Phone Number | 8314544872 |
| Fax Number | 8314544296 |
| Sole Proprietor | N |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1053580308 |
|---|---|
| Provider Enumeration Date | 2008-02-20 |
| Last Updated Date | 2023-08-29 |
Provider Mailing Address Detail
| Address | 1080 Emeline Avenue |
|---|---|
| City | Santa Cruz |
| State | California (CA) |
| Post Code | 950601976 |
| Phone Number | 8314544872 |
| Fax Number | 8314544296 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY-202418 |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24048 | CA | PSYCHOLOGIST LICENSE NUMBER | |
| 1659315430 | CA | NPI ORGANIZATION LEGAL ENTITY | |
| FHC70042F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kathleen M Condon by the Centers for Medicare & Medicaid Services?
The Kathleen M Condon has been assigned the NPI (National Provider Identifier) 1053580308 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kathleen M Condon located?
The Kathleen M Condon is located at 1080 Emeline Avenue, Santa Cruz, CA 950601976.
What is the Kathleen M Condon's specialty and taxonomy code?
The Kathleen M Condon's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date was the 1053580308 assigned to Kathleen M Condon?
The Kathleen M Condon was issued its 1053580308 on 2008-02-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kathleen M Condon last refreshed?
The information related to the Kathleen M Condon, including its address, specialty, and other relevant details, was last updated on 2023-08-29.
Address: Po Box 2333, Clay, NY
Address: 1106 N Cascade Ave, Colorado Springs, CO
Address: 4310 James Casey St, Austin, TX
Address: Po Box 1289, Tampa, FL
Address: 3525 Nw Sunset View Ter, Portland, OR
Address: 250 Pierce St, Kingston, PA
Address: 3500 Depauw Blvd Ste 3070, Indianapolis, IN
Address: 1520 San Pablo St, Los Angeles, CA
Address: Po Box 3118, Sausalito, CA
Address: Po Box 2633, Baxter, MN
Address: 3000 Citrus Cir, Walnut Creek, CA
Address: 1935 County Road B2 W Ste 270, Roseville, MN
Address: 3355 Bee Caves Rd, Austin, TX
Address: 107 S Division St, Spokane, WA
Address: 7293 Dumosa Ave, Yucca Valley, CA