Individual
DANIEL KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1700 S AMPHLETT BLVD STE 201, SAN MATEO, CA 94402-2717
(650) 493-5000
Mailing address
685 HOLLINGSWORTH DR, LOS ALTOS, CA 94022-2360
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30854
CA
103TR0400X
Rehabilitation Psychologist
30854
CA
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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