Healthcare Provider Details

I. General information

NPI: 1134440225
Provider Name (Legal Business Name): MRS. KATHRYN TERESA DIPALMA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2010
Last Update Date: 06/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6775 N BACKER AVE
FRESNO CA
93710-4701
US

IV. Provider business mailing address

6775 N BACKER AVE
FRESNO CA
93710-4701
US

V. Phone/Fax

Practice location:
  • Phone: 559-287-3231
  • Fax: 559-298-1372
Mailing address:
  • Phone: 559-287-3231
  • Fax: 559-298-1372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number374J00000X
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: