Mothner, Kelly

Mothner, Kelly is an sole proprietor health care provider with primary practice located at 2401 Pacific Coast Hwy Suite 102, Hermosa Beach CA 90254-2736. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mothner, Kelly can be contacted via phone (310) 892-2572.

Contact Information

Primary practice address
2401 Pacific Coast Hwy Suite 102 Hermosa Beach CA 90254-2736
Phone: (310) 892-2572
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY25739 California

Profile Details

NPI number 1891132072
LBN Legal business name Mothner, Kelly
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2013
Last updated May 30th, 2013 - about 11 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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