Individual
KATHLEEN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1900 DRESDEN DR, LINCOLN, CA 95648-8803
(916) 543-5437
Mailing address
1900 DRESDEN DR, LINCOLN, CA 95648-8803
(916) 543-5437
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
PSY 17473
CA
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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