Individual
DR. KATHRYN JANE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1403 1ST. STREET, CORONADO, CA 92118
(619) 948-2912
(619) 435-3332
Mailing address
1403 1ST. STREET, CORONADO, CA 92118
(619) 948-2912
(619) 435-3332
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY16612
CA
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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