Kellogg, Connie
Kellogg, Connie is an sole proprietor health care provider with primary practice located at 6756 Walker Ave , Sebastopol CA 95472-4213. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Kellogg, Connie can be contacted via phone (707) 823-0143.Contact Information
Primary practice address
6756 Walker Ave
Sebastopol CA 95472-4213
Phone: (707) 823-0143
Fax: (707) 823-0143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PSY 8554 | California |
Profile Details
| NPI number | 1821147158 |
|---|---|
| LBN Legal business name | Kellogg, Connie |
| Credentials | PSYCHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Feb 23rd, 2015 - about 10 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.
Popular Providers
-
Anton, Holly
105 Morris St Ste 200 , Sebastopol CA 95472-3826 -
Warner, Jan Earl
230 E Day Rd Ste 160 , Mishawaka IN 46545-3463 -
Way, Carol Anne
874 Gravenstein Ave Suite 7, Sebastopol CA 95472-4555 -
Weinberg, Harvey A
1836 South Ave , La Crosse WI 54601-5429 -
Segarra, Efrain
5557 Carys Brook Ln , Gloucester VA 23061-2002 -
Bannen, Marlene A
1836 South Ave , La Crosse WI 54601-5429 -
Bialik, Kimberly Chin
325 E Eisenhower Pkwy Suite 100, Ann Arbor MI 48108-5721 -
Samson, Jacqueline Anne
115 Mill St , Belmont MA 02478-1041