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NPI Code Detail

MEDICARE: DR. ANN K RAWLEY PH.D.

MEDICARE: DR. ANN K RAWLEY PH.D.
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
1103TC0700XClinical PsychologistPSY12842CA

General Provider Information

NPI Number : 1730469198
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN K RAWLEY PH.D.
Provider Business Mailing Address
First Line : 2600 S EL CAMINO REAL STE 200
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-2382
Country : US
Telephone Number : 510-393-8953
Fax Number : 510-393-8923
Provider Business Practice Location Address
First Line : 2600 S EL CAMINO REAL STE 200
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-2382
Country : US
Telephone Number : 510-393-8953
Fax Number : 510-393-8923
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2011
Last Update Date : 10/14/2014

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Directions to “ DR. ANN K RAWLEY PH.D.” Practice Location

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