Kelly, Susan Joan
Kelly, Susan Joan is an individual health care provider with primary practice located at Uplift Family Services 499 Loma Alta Ave, Los Gatos CA 95030. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as her primary health care specialty. Kelly, Susan Joan can be contacted via phone (408) 364-4157.Contact Information
Primary practice address
Uplift Family Services 499 Loma Alta Ave
Los Gatos CA 95030
Phone: (408) 364-4157
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X |
Profile Details
| NPI number | 1063173623 |
|---|---|
| LBN Legal business name | Kelly, Susan Joan |
| Credentials | AMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2022 |
| Last updated | Jan 6th, 2022 - about 2 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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