Connie Kellogg PSYCHOLOGIST

NPI 1821147158 - Psychologist - 103TB0200X

NPI Details
NPI 1821147158
Gender Female
Enumeration Date 01/09/2007
Last Updated 02/23/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
6756 WALKER AVE
SEBASTOPOL CA, 95472-4213, US
Phone (707) 823-0143
Fax (707) 823-0143
Business Location
6756 WALKER AVE
SEBASTOPOL CA, 95472-4213, US
Phone (707) 823-0143
Fax (707) 823-0143
Toxanomy
Taxonomy Code 103TB0200X
License State California
License Number PSY 8554
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According to our database, Dr. Connie Kellogg PSYCHOLOGIST NPI is 1821147158, taxonomy code is 103TB0200X and license number is PSY 8554, license state is located at California. Connie Kellogg PSYCHOLOGIST physically located at 6756 Walker Ave, Sebastopol CA, 95472-4213. NPI Number Connie Kellogg PSYCHOLOGIST has the Individual type.

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1821147158 NPI number is provided on an as is basis without warranty of any kind. 1821147158 is maintained by the National Plan & Provider Enumeration System. The contents of Connie Kellogg PSYCHOLOGIST are for informational purposes only.