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General NPI Number Information
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NPI Number | 1841409349
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Entity Type | Organization
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Legal Business Name | KATHY ALLARD, PH.D., A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1860 EL CAMINO REAL STE 310
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City | BURLINGAME
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State | CA
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Zip | 94010-3114
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Country | US
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Telephone | 650-697-1717
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Fax | 650-697-3931
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Provider Business Mailing Address
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Address Line | 1860 EL CAMINO REAL STE 310
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City | BURLINGAME
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State | CA
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Zip | 94010-3114
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Country | US
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Telephone | 650-697-1717
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Fax | 650-697-3931
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATHY ALLARD
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Credential | PH.D.
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Telephone | 650-697-1717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY16184
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License Number State | CA
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