Mary Kelso PH.E.

NPI 1154312189 - Psychologist - 103TC0700X

NPI Details
NPI 1154312189
Gender Female
Enumeration Date 10/31/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
325 E HILLCREST DR
STE 115
THOUSAND OAKS CA, 91360-5828, US
Phone (805) 379-9900
Fax (805) 371-8031
Business Location
325 E HILLCREST DR
STE 115
THOUSAND OAKS CA, 91360-5828, US
Phone (805) 379-9900
Fax (805) 371-8031
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number PSY10466
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According to our database, Dr. Mary Kelso PH.E. NPI is 1154312189, taxonomy code is 103TC0700X and license number is PSY10466, license state is located at California. Mary Kelso PH.E. physically located at 325 E Hillcrest Dr, Thousand Oaks CA, 91360-5828. NPI Number Mary Kelso PH.E. has the Individual type.

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1154312189 NPI number is provided on an as is basis without warranty of any kind. 1154312189 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Kelso PH.E. are for informational purposes only.