Kinzley, Kent Shryer
Kinzley, Kent Shryer is an sole proprietor health care provider with primary practice located at 595 E Colorado Blvd Suite 629, Pasadena CA 91101-2039. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Kinzley, Kent Shryer can be contacted via phone (626) 440-7322.Contact Information
Primary practice address
595 E Colorado Blvd Suite 629
Pasadena CA 91101-2039
Phone: (626) 440-7322
Fax: (626) 440-9770
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC-29589 | California |
Profile Details
NPI number | 1366509689 |
---|---|
LBN Legal business name | Kinzley, Kent Shryer |
Credentials | M.A., MFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 3rd, 2007 |
Last updated | Jul 8th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366509689 | NPPES |
California | Other | MFC29589 | LICENSE |
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