DR. KERIANNE ELIZABETH DITOMASSO


Address: 1551 Bishop St Ste A-130, San Luis Obispo, CA 93401-4635
Phone: 8052469234

DR. KERIANNE ELIZABETH DITOMASSO (NPI# 1689291007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689291007
Entity Type Individual
Full Name DR. KERIANNE ELIZABETH DITOMASSO
Other Name MS. KERIANNE ELIZABETH TITUS
Credential PSY.D.
Practice Address 1551 Bishop St Ste A-130
San Luis Obispo
CA 93401-4635
Practice Telephone 8052469234
Mailing Telephone 8052469234
Enumeration Date 2020-07-01
Last Update Date 2020-07-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY31015 CA Behavioral Health & Social Service Providers

Office Location

Street Address 1551 BISHOP ST STE A-130
City SAN LUIS OBISPO
State CA
Zip Code 93401-4635

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366949943 Lisa Slover Psychologist 1530 Monterey St Ste A, San Luis Obispo, CA 93401-2969 2018-04-10
1376991315 Karin Kerstin Gutierrez Psychologist 1107 Johnson Avenue, San Luis Obispo, CA 93401 2016-06-01
1225411614 Stephen Theodore Bobey Jr. Psychologist 1129 Marsh St, San Luis Obispo, CA 93401-3323 2015-07-02
1760884670 Robert Ryan Psychologist 1 Hwy 1, San Luis Obispo, CA 93409-8101 2014-09-23
1194135772 Sarah Chisholm Psychologist California Mens Colony Highway 1 N, Dq Mental Health Building, San Luis Obispo, CA 93409-8101 2014-05-05
1699198689 Cynthia Mccabe Psychologist California Mens Colony Mental Health, Hwy 1 North, Box 8101, San Luis Obispo, CA 93409-8101 2014-01-27
1164854139 James Brian Fishback Psychologist 4421 Brookpine Dr, San Luis Obispo, CA 93401-7802 2013-08-01
1184967226 Deserie R Barragan Psychologist D Facility Highway 1, Department of Corrections and Rehabilitation, San Luis Obispo, CA 93403 2013-03-27
1811234297 Barbara Y Mair Psychologist Hwy 1 N, San Luis Obispo, CA 93409-0001 2013-01-06
1538411798 Jayanta Hegde Psychologist 1530 Monterey St, Ste A, San Luis Obispo, CA 93401-2969 2012-10-11
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Competitor

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City SAN LUIS OBISPO
Zip Code 93401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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