Kellaway, Julie Ann

Kellaway, Julie Ann is an sole proprietor health care provider with primary practice located at 1762 Hoffman Dr , Loveland CO 80538-4292. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kellaway, Julie Ann can be contacted via phone (970) 541-8134.

Contact Information

Primary practice address
1762 Hoffman Dr Loveland CO 80538-4292
Phone: (970) 541-8134
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X CO3872 Colorado
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY.0003872 Colorado

Profile Details

NPI number 1235299199
LBN Legal business name Kellaway, Julie Ann
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Apr 17th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235299199 NPPES
Colorado MEDICAID 87930544

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