Individual
KATHARINE PRATT DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
401 QUARRY RD., STANFORD, CA 94305-5719
(650) 723-5511
Mailing address
401 QUARRY RD., STANFORD, CA 94305-5719
(650) 723-5511
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY26641
CA
Other
Enumeration date
05/21/2012
Last updated
09/24/2014
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