Individual provider · Type 1 NPI

Blair Kilpatrick-Tabak, PhD

Clinical Psychologist · Fremont, CA

NPI number 1114060282 Active

Practice location

3100 Mowry Ave, Ste 410
Fremont, CA 94538-1509

Call (510) 791-1036 Map

Fax (510) 791-1036

Mailing address

1507 Ada St
Berkeley, CA 94703-1001

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY15604 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1114060282

Blair Kilpatrick-Tabak, PhD's National Provider Identifier is 1114060282, issued on Feb 15, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fremont, CA. The record was last updated on Jul 8, 2007.