Provider Demographics
NPI:1992074793
Name:KAISER, NATALIE CHRISTINE (PHD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:CHRISTINE
Last Name:KAISER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:CHRISTINE
Other - Last Name:WOLCOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:11301 WILSHIRE BLVD
Mailing Address - Street 2:BUILDING 401, ROOM A235
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90073-1003
Mailing Address - Country:US
Mailing Address - Phone:310-478-3711
Mailing Address - Fax:
Practice Address - Street 1:11301 WILSHIRE BLVD
Practice Address - Street 2:BUILDING 401, ROOM A235
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:310-478-3711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist