Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 17331 | CA |
N | 103G00000X | Clinical Psychologist | 17331 | CA |
N | 103TC0700X | Clinical Psychologist | 17331 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 17331 | CA |
NPI | 1073759213 |
---|---|
Provider Name | Dr. Juliann Eva Kauffman |
First Address | Walnut Creek, CA 94596-8811 |
Second Address | Lafayette, CA 94549-4521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2008 |
Last Update Date | 01/10/2021 |