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NPI Code Detail

MEDICARE: DR. KATHLEEN CHALFONT PHD

MEDICARE:  DR. KATHLEEN  CHALFONT  PHD
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
1103T00000XPsychologistPSY6657CA

General Provider Information

NPI Number : 1457445819
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN CHALFONT PHD
Provider Business Mailing Address
First Line : PO BOX 687
Second Line :
City : MOSS BEACH
State : CA
Zip : 94038-0687
Country : US
Telephone Number : 650-728-7485
Fax Number : 650-728-1731
Provider Business Practice Location Address
First Line : 1700 PIERCE ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-3108
Country : US
Telephone Number : 650-728-7485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/08/2007

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Directions to “ DR. KATHLEEN CHALFONT PHD” Practice Location

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