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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255615217 NPPES
California Other PSY20114 PSYCHOLOGY

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