Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY SAUNDERS KELLOGG, PSY.D
Active Sole ProprietorDR. JEFFREY SAUNDERS KELLOGG, PSY.D is a Child, Clinical Psychologist healthcare provider located in CARBONDALE, Illinois. NPI 1093740862 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · CARBONDALE, IL
Registration Details
- NPI Number
- 1093740862
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2006 (20.086992422631 yrs)
- Last Updated
- Mar 25, 2015
- Licenses
-
071003739 (IL)071003739 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3412 S ILLINOIS AVECARBONDALE, IL, 629038362Browse IL providers · Browse ZIP 62903
- Phone
- 6184574488
- Fax
- 6184578844
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Child, Clinical Psychologist
Other Child, Clinical Psychologist Providers in CARBONDALE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. KARLA K. FEHR | PH.D. | 1255711438 |
| DR. PAUL MICHAEL SHAWLER | PH.D. | 1417440173 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.