Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY 22802 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY 22802 | CA |
N | 103TH0004X | Health Psychologist | PSY 22802 | CA |
NPI | 1023249679 |
---|---|
Provider Name | Dr. Kathryn Williams |
First Address | San Diego, CA 92109-3352 |
Second Address | San Diego, CA 92103-4237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2009 |
Last Update Date | 30/11/2010 |