Kellison, Laura J.S.
Kellison, Laura J.S. is an sole proprietor health care provider with primary practice located at 7 4Th St Suites 32 And 33, Petaluma CA 94952-3043. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kellison, Laura J.S. can be contacted via phone (707) 364-9388.Contact Information
Primary practice address
7 4Th St Suites 32 And 33
Petaluma CA 94952-3043
Phone: (707) 364-9388
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY19863 | California |
Profile Details
| NPI number | 1760538896 |
|---|---|
| LBN Legal business name | Kellison, Laura J.S. |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jan 31st, 2013 - about 12 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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