Individual
KATHLEEN ROSE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
414 GOUGH ST STE 6, SAN FRANCISCO, CA 94102-4474
(209) 324-0346
Mailing address
414 GOUGH ST STE 6, SAN FRANCISCO, CA 94102-4474
(209) 324-0346
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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