Kelly, Thompson James
Kelly, Thompson James is an sole proprietor health care provider with primary practice located at 5901 Green Valley Circle , Culver City CA 90230-6953. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Kelly, Thompson James can be contacted via phone (310) 258-4162.Contact Information
Primary practice address
5901 Green Valley Circle
Culver City CA 90230-6953
Phone: (310) 258-4162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY20114 | California |
Profile Details
| NPI number | 1255615217 |
|---|---|
| LBN Legal business name | Kelly, Thompson James |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 7th, 2011 |
| Last updated | Oct 7th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255615217 | NPPES |
| California | Other | PSY20114 | PSYCHOLOGY |
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