Individual provider · Type 1 NPI
Wayne Kilthau
Intellectual & Developmental Disabilities Psychologist · San Jose, CA
NPI number
1235593690
Active
Practice location
5301 Gerine Blossom Dr
San Jose, CA 95123-2118
Mailing address
1280 Pembridge Dr
San Jose, CA 95118-1545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | None listed |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
Another provider at this address
About NPI 1235593690
Wayne Kilthau's National Provider Identifier is 1235593690, issued on Apr 11, 2016. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in San Jose, CA. The record was last updated on Apr 11, 2016.