Paquette, Kelly Marie
Paquette, Kelly Marie is an sole proprietor health care provider with primary practice located at 100 Meadowcreek Dr Ste 115 , Corte Madera CA 94925-1230. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Paquette, Kelly Marie can be contacted via phone (415) 794-2391.Contact Information
Primary practice address
100 Meadowcreek Dr Ste 115
Corte Madera CA 94925-1230
Phone: (415) 794-2391
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY25608 | California |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1447308028 |
---|---|
LBN Legal business name | Paquette, Kelly Marie |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 8th, 2007 |
Last updated | Nov 2nd, 2020 - about 4 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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