MEDICARE: DR. TABITHA EVE KALKSTEIN PH.D., L.M.H.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH7354	FL

General Provider Information

NPI Number	:	1235315730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TABITHA EVE KALKSTEIN PH.D., L.M.H.C.

Provider Business Mailing Address
First Line	:	931 VILLAGE BLVD
Second Line	:	SUITE 905-386
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-1803
Country	:	US
Telephone Number	:	561-635-3225
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 US HIGHWAY 27 S
Second Line	:
City	:	SOUTH BAY
State	:	FL
Zip	:	33493-2233
Country	:	US
Telephone Number	:	561-635-3225
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2008
Last Update Date	:	01/14/2008

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