Provider Information for 1114113149
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Dr. KATHLEEN MARIE PULEO Psy.D
Sex: Female
NPI: 1114113149
Last Updated: 2009-06-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1114113149 | ||||||||
| Enumeration Date | 2007-09-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 18825 NAU AVE PORTER RANCH, CA 91326 United States Phone: 818-360-1663 | Fax: | ||||||||
| Primary Practice Address | 66 HURLBUT ST PASADENA, CA 91105-4025 United States Phone: 626-441-4221 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|