| Steven F Kellogg Psyd Llc Licensed Clinical Psychologist | |
|
133 Defense Hwy Suite 210 Annapolis MD 21401-7098 | |
| (410) 266-6266 | |
| (410) 266-7663 |
| Full Name | Steven F Kellogg Psyd Llc Licensed Clinical Psychologist |
|---|---|
| Speciality | Psychologist |
| Location | 133 Defense Hwy, Annapolis, Maryland |
| Authorized Official Name and Position | Steven F Kellogg (OWNER) |
| Authorized Official Contact | 4102666266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven F Kellogg Psyd Llc Licensed Clinical Psychologist 133 Defense Hwy Suite 210 Annapolis MD 21401-7098 Ph: (410) 266-6266 | Steven F Kellogg Psyd Llc Licensed Clinical Psychologist 133 Defense Hwy Suite 210 Annapolis MD 21401-7098 Ph: (410) 266-6266 |
| NPI Number | 1215104674 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Medicare PECOS PAC ID | 7517103385 |
|---|---|
| Medicare Enrollment ID | O20130424000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215104674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 02589 (Maryland) | Primary |
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