Most Relevant Information
Provider Data
| NPI Number: | 1003265760 |
| Provider Name: | STARR KELTON-LOCKE |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PSY16108 |
Most Important Dates
| Enumeration Date: | 06/03/2016 |
| Last Updated: | 06/03/2016 |
Provider Practice Location
1030 SIR FRANCIS DRAKE BLVD
STE. 100
KENTFIELD
CA
949041411
Practice Location Phone/Fax
| Phone: | 4154532782 |
| Fax: | 4154579932 |
Provider Mailing Location
1030 SIR FRANCIS DRAKE BLVD
STE. 100
KENTFIELD
CA
949041411
Provider Mailing Phone/Fax
| Phone: | 4154532782 |
| Fax: | 4154579932 |