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Contact Information

LAURA KELLISON, PSY,.D.
115 LIBERTY ST
SUITE 4
PETALUMA, CA94952-2326
 Phone: 707-364-9388
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LAURA KELLISON PSYD · (Female)

NPI Number 1154628634
Status Active
Credentials
Entity Individual
Enumeration date 02/18/2011
Last updated 02/18/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 19863
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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