Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst | ||
Y | 103G00000X | Clinical Psychologist | LEP3485 | CA |
Y | 103TC0700X | Clinical Psychologist | LEP3485 | CA |
N | 103TC1900X | Counseling Psychologist | ||
N | 103TC2200X | Clinical Child & Adolescent Psychologist | LEP3485 | CA |
N | 103TE1100X | Exercise & Sports Psychologist | ||
N | 103TS0200X | School Psychologist |
NPI | 1114325818 |
---|---|
Provider Name | Kathryn Murphy Keithly |
First Address | Aromas, CA 95004-0293 |
Second Address | Watsonville, CA 95004-0293 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2014 |
Last Update Date | 11/12/2014 |