| Laura Kellison, Psy,.d. | |
|
115 Liberty St Suite 4 Petaluma CA 94952-2326 | |
| (707) 364-9388 | |
| Not Available |
| Full Name | Laura Kellison, Psy,.d. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 115 Liberty St, Petaluma, California |
| Authorized Official Name and Position | Laura Kellison (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7073649388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Kellison, Psy,.d. 115 Liberty St Suite 4 Petaluma CA 94952-2326 Ph: (707) 364-9388 | Laura Kellison, Psy,.d. 115 Liberty St Suite 4 Petaluma CA 94952-2326 Ph: (707) 364-9388 |
| NPI Number | 1154628634 |
|---|---|
| Provider Enumeration Date | 02/18/2011 |
| Last Update Date | 02/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154628634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 19863 (California) | Primary |
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