Altis, Kaylan
Altis, Kaylan is an individual health care provider with primary practice located at 150 W Hedding St , San Jose CA 95110-1706. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Altis, Kaylan can be contacted via phone (573) 718-2860.Contact Information
Primary practice address
150 W Hedding St
San Jose CA 95110-1706
Phone: (573) 718-2860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 30311 | California |
Profile Details
| NPI number | 1639649395 |
|---|---|
| LBN Legal business name | Altis, Kaylan |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 26th, 2018 |
| Last updated | Apr 16th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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