Kathryn Marie Pedgrift, PSYD is a
Psychologist - Clinical based in San Diego, California. Kathryn Marie Pedgrift is licensed to practice in California (license number 24991) and her current practice location is
10065 Old Grove Rd Ste 200, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(858) 444-8823.
NPI number for Kathryn Marie Pedgrift is 1578609822 and her current mailing address is 3780 Fifth Ave Apt 2, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578609822.
Healthcare Provider's Profile
| Full Name | Kathryn Marie Pedgrift |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 10065 Old Grove Rd Ste 200, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578609822
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 06/05/2012
Medical Identifiers
Medical identifiers for Kathryn Marie Pedgrift such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578609822 | NPI | - | NPPES |
| 3740 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 24991 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Marie Pedgrift is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kathryn Marie Pedgrift, PSYD
3780 Fifth Ave Apt 2,
San Diego, CA 92103-4238
Ph: (415) 710-4187 | Kathryn Marie Pedgrift, PSYD
10065 Old Grove Rd Ste 200,
San Diego, CA 92131-1664
Ph: (858) 444-8823 |
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