Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 32056 | CA |
NPI | 1003190133 |
---|---|
Provider Name | Krishna Govinda Kary |
First Address | Palo Alto, CA 94301-3031 |
Second Address | Palo Alto, CA 94301-3031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2011 |
Last Update Date | 07/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PSY32056 | LICENSED PSYCHOLOGIST (01) | CA |