Individual
KAREN RATHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
162J GROVE ST, BISHOP, CA 93514-2640
(760) 873-7464
(760) 873-3277
Mailing address
PO BOX 761, LONE PINE, CA 93545-0761
(310) 741-1347
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY16459
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY16459
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY164590
—
CA
Enumeration date
10/03/2006
Last updated
04/25/2018
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