Kellogg, Jeffrey Saunders
Kellogg, Jeffrey Saunders is an sole proprietor health care provider with primary practice located at 3412 S Illinois Ave , Carbondale IL 62903-8362. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Kellogg, Jeffrey Saunders can be contacted via phone (618) 457-4488.Contact Information
Primary practice address
3412 S Illinois Ave
Carbondale IL 62903-8362
Phone: (618) 457-4488
Fax: (618) 457-8844
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071003739 | Illinois |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 071003739 | Illinois |
Profile Details
NPI number | 1093740862 |
---|---|
LBN Legal business name | Kellogg, Jeffrey Saunders |
Credentials | PSY.D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 11th, 2006 |
Last updated | Mar 25th, 2015 - about 9 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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