Kilpatrick-Tabak, Blair
Kilpatrick-Tabak, Blair is an sole proprietor health care provider with primary practice located at 3100 Mowry Ave Ste 410, Fremont CA 94538-1509. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kilpatrick-Tabak, Blair can be contacted via phone (510) 791-1036.Contact Information
Primary practice address
3100 Mowry Ave Ste 410
Fremont CA 94538-1509
Phone: (510) 791-1036
Fax: (510) 791-1036
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY15604 | California |
Profile Details
| NPI number | 1114060282 |
|---|---|
| LBN Legal business name | Kilpatrick-Tabak, Blair |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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