Kelly, Maya

Kelly, Maya is an sole proprietor health care provider with primary practice located at 15409 Dickens St , Sherman Oaks CA 91403-3009. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kelly, Maya can be contacted via phone (818) 986-4362.

Contact Information

Primary practice address
15409 Dickens St Sherman Oaks CA 91403-3009
Phone: (818) 986-4362
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X LEP3257 California

Profile Details

NPI number 1083287957
LBN Legal business name Kelly, Maya
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2021
Last updated Jul 20th, 2021 - about 4 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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