Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PSY6906 | CA |
N | 103T00000X | Psychologist | PSY6906 | CA |
N | 102L00000X | Psychologist | PY6906 | CA |
N | 103T00000X | Psychologist | PY6906 | CA |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSY6906 | CA |
N | 103TA0700X | Adult Development & Aging Psychologist | PSY6906 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY6906 | CA |
N | 103TC1900X | Counseling Psychologist | PSY6906 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY6906 | CA |
N | 103TF0000X | Family Psychologist | PSY6906 | CA |
N | 103TH0100X | Health Service | PSY6906 | CA |
N | 103TP0814X | Psychoanalysis | PSY6906 | CA |
N | 103TP2701X | Group Psychotherapist | PSY6906 | CA |
N | 103TR0400X | Rehabilitation Psychologist | PSY6906 | CA |
NPI | 1669499273 |
---|---|
Provider Name | Dr. Rodney G Karr |
First Address | San Francisco, CA 94117-3253 |
Second Address | San Francisco, CA 94117-3253 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PSY6906 | LICENSE NUMBER (01) | CA |