Kesselman, Michael Seth

Kesselman, Michael Seth is an individual health care provider with primary practice located at 5100 N 6Th St , Fresno CA 93710-7514. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kesselman, Michael Seth can be contacted via phone (559) 222-7507.

Contact Information

Primary practice address
5100 N 6Th St Fresno CA 93710-7514
Phone: (559) 222-7507
Fax: (559) 222-7569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY8012 California

Profile Details

NPI number 1952384620
LBN Legal business name Kesselman, Michael Seth
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2005
Last updated Jul 9th, 2007 - about 17 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 1952384620 NPPES
California MEDICAID PTX080120

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