Keller, Thomas Allen
Keller, Thomas Allen is an sole proprietor health care provider with primary practice located at 7863 La Mesa Blvd Suite 102, La Mesa CA 91941-3657. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Keller, Thomas Allen can be contacted via phone (619) 698-9525.Contact Information
Primary practice address
7863 La Mesa Blvd Suite 102
La Mesa CA 91941-3657
Phone: (619) 698-9525
Fax: (619) 698-9546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY 12961 | California |
Profile Details
| NPI number | 1912914375 |
|---|---|
| LBN Legal business name | Keller, Thomas Allen |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1912914375 | NPPES |
| California | MEDICAID | PSY129610 |
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