Crenshaw, Kelly L
Crenshaw, Kelly L is an sole proprietor health care provider with primary practice located at 12 Bellwether Way Ste 240 , Bellingham WA 98225-2959. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Crenshaw, Kelly L can be contacted via phone (360) 588-2500.Contact Information
Primary practice address
12 Bellwether Way Ste 240
Bellingham WA 98225-2959
Phone: (360) 588-2500
Fax: (360) 785-2016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 36685 | Texas |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | PY60885078 | Washington |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 36685 | Texas |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PY60885078 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 36685 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY60885078 | Washington |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PY60885078 | Washington |
Profile Details
| NPI number | 1649694662 |
|---|---|
| LBN Legal business name | Crenshaw, Kelly L |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2014 |
| Last updated | Nov 18th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649694662 | NPPES |
| Washington | Other | PY60885078 | DEPARTMENT OF HEALTH |
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