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Wayne Kilthau
Intellectual & Developmental Disabilities Psychologist in San Jose, California
NPI 1235593690

Wayne Kilthau is a Intellectual & Developmental Disabilities Psychologist based in San Jose, CA and is specialized in Intellectual & Developmental Disabilities. Wayne Kilthau practices in San Jose, CA. The NPI Number for Wayne Kilthau is 1235593690 and holds a License No. (California).

The current practice location address for Wayne Kilthau is 5301 Gerine Blossom Dr, San Jose, CA and can be reached out via phone at 408-799-1981.

Location: 5301 Gerine Blossom Dr, San Jose, CA, 95118-1545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235593690
Provider Name
Wayne Kilthau
Credential
Provider Entity Type
Individual
Gender
Male
Address
5301 Gerine Blossom Dr, San Jose, CA, 95118-1545
Phone Number
408-799-1981
Fax Number
Provider Enumeration Date
04/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5301 Gerine Blossom Dr
City
San Jose
State
California
Zip
95123-2118
Phone Number
408-799-1981
Fax Number
person
Provider Business Mailing Address Details
Address
5301 Gerine Blossom Dr
City
San Jose
State
California
Zip
95123-2118
Phone Number
408-799-1981
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
103TM1800X
License No.
()
Definition
Definition to come...
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