Bush, Kelly M
Bush, Kelly M is an sole proprietor health care provider with primary practice located at 710 S Broadway Ste 300 Dept Of Mental Health, Walnut Creek CA 94596-5229. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Bush, Kelly M can be contacted via phone (925) 295-4145.Contact Information
Primary practice address
710 S Broadway Ste 300 Dept Of Mental Health
Walnut Creek CA 94596-5229
Phone: (925) 295-4145
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 19826 | California |
Profile Details
| NPI number | 1649321191 |
|---|---|
| LBN Legal business name | Bush, Kelly M |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jan 24th, 2022 - about 3 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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