Provider Demographics
NPI:1780829713
Name:KAESLIN, CARI M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CARI
Middle Name:M
Last Name:KAESLIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:CARI
Other - Middle Name:M
Other - Last Name:BOONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:3333 SKYPARK DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5023
Mailing Address - Country:US
Mailing Address - Phone:310-257-5751
Mailing Address - Fax:310-257-5753
Practice Address - Street 1:3333 SKYPARK DR
Practice Address - Street 2:SUITE 220
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5023
Practice Address - Country:US
Practice Address - Phone:310-257-5751
Practice Address - Fax:310-257-5753
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20271103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical