Tully, Kaitlin Elizabeth

Tully, Kaitlin Elizabeth is an individual health care provider with primary practice located at 710 S Broadway Suite 300, Walnut Creek CA 94596-5294. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Tully, Kaitlin Elizabeth can be contacted via phone (925) 295-4145.

Contact Information

Primary practice address
710 S Broadway Suite 300 Walnut Creek CA 94596-5294
Phone: (925) 295-4145
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY26402 California

Profile Details

NPI number 1548455645
LBN Legal business name Tully, Kaitlin Elizabeth
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2007
Last updated Jan 3rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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