Jacobson Pura, Kristin Keli

Jacobson Pura, Kristin Keli is an sole proprietor health care provider with primary practice located at 2185 W Grant Line Rd , Tracy CA 95377-7309. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Jacobson Pura, Kristin Keli can be contacted via phone (209) 839-6282.

Contact Information

Primary practice address
2185 W Grant Line Rd Tracy CA 95377-7309
Phone: (209) 839-6282
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY26477 California
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY26477 California

Profile Details

NPI number 1548493760
LBN Legal business name Jacobson Pura, Kristin Keli
Credentials PSYD, ABPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2009
Last updated Oct 21st, 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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