Individual
DR. CHRISTINE KENWORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
334 N SAN MATEO DR, SAN MATEO, CA 94401-2514
(650) 737-1883
Mailing address
334 N SAN MATEO DR, SAN MATEO, CA 94401-2514
(650) 737-1883
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY26068
CA
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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