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NPI Code Detail

MEDICARE: DR. B. MICHELLE KALEHZAN PH.D.

MEDICARE: DR. B. MICHELLE KALEHZAN 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 PsychologistPSY15676CA

General Provider Information

NPI Number : 1851304661
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. B. MICHELLE KALEHZAN PH.D.
Provider Business Mailing Address
First Line : 851 FREMONT AVE
Second Line : SUITE 214
City : LOS ALTOS
State : CA
Zip : 94024-5698
Country : US
Telephone Number : 650-941-4444
Fax Number : 408-733-5578
Provider Business Practice Location Address
First Line : 851 FREMONT AVE
Second Line : SUITE 214
City : LOS ALTOS
State : CA
Zip : 94024-5698
Country : US
Telephone Number : 650-941-4444
Fax Number : 408-733-5578
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 10/03/2014

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Directions to “ DR. B. MICHELLE KALEHZAN PH.D.” Practice Location

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