| Kathlyn Clementelli | |
|
3212 Tenley Dr San Jose CA 95148-3639 | |
| (408) 204-8518 | |
| Not Available |
| Full Name | Kathlyn Clementelli |
|---|---|
| Speciality | Psychologist |
| Location | 3212 Tenley Dr, San Jose, California |
| Authorized Official Name and Position | Kathlyn Clementelli (PSYCHOLOGIST) |
| Authorized Official Contact | 4082048518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathlyn Clementelli 3212 Tenley Dr San Jose CA 95148-3639 Ph: (408) 204-8518 | Kathlyn Clementelli 3212 Tenley Dr San Jose CA 95148-3639 Ph: (408) 204-8518 |
| NPI Number | 1659818060 |
|---|---|
| Provider Enumeration Date | 01/23/2017 |
| Last Update Date | 01/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659818060 | NPI | - | NPPES |
| 97726 | Other | CA | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY28217 (California) | Primary |
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