Provider Demographics
NPI:1396873196
Name:TOUPS, KATHLEEN (MD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:
Last Name:TOUPS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KAT
Other - Middle Name:
Other - Last Name:TOUPS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2900 CAMINO DIABLO STE 200
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3993
Mailing Address - Country:US
Mailing Address - Phone:925-265-2300
Mailing Address - Fax:925-265-2301
Practice Address - Street 1:2900 CAMINO DIABLO STE 200
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-3993
Practice Address - Country:US
Practice Address - Phone:925-265-2300
Practice Address - Fax:925-265-2301
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2016-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA0450482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry