Organization
KATHLYN CLEMENTELLI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLYN CLEMENTELLI PH.D. (PSYCHOLOGIST)
(408) 204-8518
Entity
Organization
Contact information
Practice address
3212 TENLEY DR, SAN JOSE, CA 95148-3639
(408) 204-8518
Mailing address
3212 TENLEY DR, SAN JOSE, CA 95148-3639
(408) 204-8518
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY28217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97726
UNITED HEALTHCARE
CA
Enumeration date
01/23/2017
Last updated
01/23/2017
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