Mr Brian Emory Kellogg, LMFT | |
525 Oregon St., Php/iop, Vallejo, CA 94590 | |
(707) 652-3788 | |
Not Available |
Full Name | Mr Brian Emory Kellogg |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 525 Oregon St., Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891264461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 109811 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Mr Brian Emory Kellogg, LMFT 915 Kilkenny Way, Pinole, CA 94564-2715 Ph: (707) 652-3788 | Mr Brian Emory Kellogg, LMFT 525 Oregon St., Php/iop, Vallejo, CA 94590 Ph: (707) 652-3788 |
Mr. Richard Arthur Frank, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 631 Tennessee St, Vallejo, CA 94590 Phone: 510-502-4768 | |
Ms. Ruth Ali Leonard, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 355 Tuolumne St, Vallejo, CA 94590 Phone: 707-553-5099 Fax: 707-553-5260 | |
Susan Margaret Embree-davis, M.A., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 631 Tennessee St, Vallejo, CA 94590 Phone: 707-704-1455 Fax: 707-643-0115 | |
Michele Arnone, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 150 Glen Cove Marina Rd E, #102, Vallejo, CA 94591 Phone: 707-553-1784 | |
Mr. Kirk Douglas Brocks, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2103 Redwood St, Suite 204, Vallejo, CA 94590 Phone: 707-642-4015 Fax: 707-642-8319 | |
Stephanie Lynn Snyder, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1761 Broadway St, Vallejo, CA 94589 Phone: 707-645-2452 | |
Dr. Arthur Freund Binder, PSY.D., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 815 Branciforte St, Vallejo, CA 94590 Phone: 707-529-8105 |