Individual
KAITLIN ELIZABETH TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
710 S BROADWAY, SUITE 300, WALNUT CREEK, CA 94596-5294
(925) 295-4145
Mailing address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4145
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY26402
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/11/2007
Last updated
01/03/2022
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