Kelliher, Richard J
Kelliher, Richard J is an sole proprietor health care provider with primary practice located at 22 W Mission St Suite C, Santa Barbara CA 93101-2450. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Kelliher, Richard J can be contacted via phone (805) 687-8021.Contact Information
Primary practice address
22 W Mission St Suite C
Santa Barbara CA 93101-2450
Phone: (805) 687-8021
Fax: (805) 687-8021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY11772 | California |
Profile Details
| NPI number | 1851374235 |
|---|---|
| LBN Legal business name | Kelliher, Richard J |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Oct 10th, 2011 - about 13 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 | 1851374235 | NPPES |
| California | MEDICAID | PSY117720 |
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