Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAKE KELLY
ActiveDR. JAKE KELLY is a Forensic Psychologist healthcare provider located in WASCO, California. NPI 1386094993 is currently active in the NPPES registry. Verify at CMS.
Forensic Psychologist · WASCO, CA
Registration Details
- NPI Number
- 1386094993
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2016 (10.193043766868 yrs)
- Last Updated
- Jun 14, 2016
Practice Information
- Address
-
701 SCOFIELD AVEWASCO, CA, 932807515Browse CA providers · Browse ZIP 93280
- Phone
- 6617588400
- Primary Specialty
-
Forensic Psychologist
103TF0200X
Other Forensic Psychologist Providers in WASCO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. CAMELLIA MOHADJER | PH.D. | 1639448103 |
| MICHELLE KOEHLER | — | 1831508761 |
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.