Most Relevant Information
Provider Data
| NPI Number: | 1003169939 |
| Provider Name: | KATHLEEN PEDERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 114084 |
Most Important Dates
| Enumeration Date: | 10/16/2012 |
| Last Updated: | 10/31/2023 |
Provider Practice Location
975 ROBLE AVE APT 3
MENLO PARK
CA
940254950
Practice Location Phone/Fax
| Phone: | 9499392509 |
| Fax: |
Provider Mailing Location
975 ROBLE AVE APT 3
MENLO PARK
CA
940254950
Provider Mailing Phone/Fax
| Phone: | 9499392509 |
| Fax: |