| Mary Kelso, Ph.,d. Inc | |
|
325 E Hillcrest Dr Ste 115 Thousand Oaks CA 91360-5828 | |
| (805) 379-9600 | |
| (951) 245-0309 |
| Full Name | Mary Kelso, Ph.,d. Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 325 E Hillcrest Dr, Thousand Oaks, California |
| Authorized Official Name and Position | Mary Kelso (PSYCHOLOGIST) |
| Authorized Official Contact | 8053799600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Kelso, Ph.,d. Inc Po Box 7251 Westlake Village CA 91359-7251 Ph: (805) 379-9600 | Mary Kelso, Ph.,d. Inc 325 E Hillcrest Dr Ste 115 Thousand Oaks CA 91360-5828 Ph: (805) 379-9600 |
| NPI Number | 1164566881 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 09/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164566881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY10466 (California) | Primary |
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