Pederson, Kathleen
Pederson, Kathleen is an sole proprietor health care provider with primary practice located at 975 Roble Ave Apt 3 , Menlo Park CA 94025-4950. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Pederson, Kathleen can be contacted via phone (949) 939-2509.Contact Information
Primary practice address
975 Roble Ave Apt 3
Menlo Park CA 94025-4950
Phone: (949) 939-2509
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 114084 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1003169939 |
|---|---|
| LBN Legal business name | Pederson, Kathleen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2012 |
| Last updated | Oct 31st, 2023 - about 3 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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