Doctor Name: | KATE NEDURIAN RODMAN |
NPI Number: | 1841546272 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 1375 55th St Emeryville, CA - 946082609 |
Business Phone Number: | 5106557880 |
Business Fax Number: | 5106553379 |
Mailing Address: | 1375 55th St, EMERYVILLE |
State: | CA |
Postal Code: | 946082609 |
Phone Number: | 5106557880 |
Fax Number: | 5106553379 |
NPI Enumeration Date: | 08/03/2012 |
NPI Last Update Date: | 02/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |