Doctor Name: | DR. KARI ELYSE WOLMAN |
NPI Number: | 1124125364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 22479 |
Business Practice Address: | 895 Sir Francis Drake Blvd San Anselmo, CA - 949601916 |
Business Phone Number: | 4154595206 |
Business Fax Number: | |
Mailing Address: | 1574 Clay Dr, LOS ALTOS |
State: | CA |
Postal Code: | 940246249 |
Phone Number: | 5107985513 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 01/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 22479 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |