Waddell, Kathleen J

Waddell, Kathleen J is an individual health care provider with primary practice located at 1521 Higuera St Ste E, San Luis Obispo CA 93401-2958. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Waddell, Kathleen J can be contacted via phone (805) 541-8116.

Contact Information

Primary practice address
1521 Higuera St Ste E San Luis Obispo CA 93401-2958
Phone: (805) 541-8116
Fax: (805) 542-0302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY5636 California

Profile Details

NPI number 1285629329
LBN Legal business name Waddell, Kathleen J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 8th, 2007 - about 17 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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