| Doctor Name: | DR. M JACKSON KAHLE |
| NPI Number: | 1487832192 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PSY10634 |
| Business Practice Address: | 31685 Hiway 101 Salinas Valley State Prison, Mental Health Soledad, CA - 93960 |
| Business Phone Number: | 8316785676 |
| Business Fax Number: | 8316785660 |
| Mailing Address: | 129 Spray Ave, MONTEREY |
| State: | CA |
| Postal Code: | 939403411 |
| Phone Number: | 7073379008 |
| Fax Number: | 8313721693 |
| NPI Enumeration Date: | 02/05/2008 |
| NPI Last Update Date: | 02/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | PSY10634 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |