Abbott, Michael Kelly

Abbott, Michael Kelly is an sole proprietor health care provider with primary practice located at 3300 Tully Rd Ste B6 , Modesto CA 95350-0848. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Abbott, Michael Kelly can be contacted via phone (209) 585-0555.

Contact Information

Primary practice address
3300 Tully Rd Ste B6 Modesto CA 95350-0848
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY27701 California

Profile Details

NPI number 1346498151
LBN Legal business name Abbott, Michael Kelly
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2008
Last updated Sep 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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