Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LAURA J.S. KELLISON, PSY.D.
Active Sole ProprietorDR. LAURA J.S. KELLISON, PSY.D. is a Psychologist healthcare provider located in PETALUMA, California. NPI 1760538896 is currently active in the NPPES registry. Verify at CMS.
Psychologist · PETALUMA, CA
Registration Details
- NPI Number
- 1760538896
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 25, 2007 (19.511488089934 yrs)
- Last Updated
- Jan 31, 2013
- License
-
PSY19863 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7 4TH STSUITES 32 AND 33PETALUMA, CA, 949523043Browse CA providers · Browse ZIP 94952
- Phone
- 7073649388
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in PETALUMA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICIA SUZANNE ALSUP | PH.D. | 1154349140 |
| DR. YOLANDA BASOCO BRISCOE | PSYD | 1508967142 |
| DR. JOHN BOGHOSIAN ARDEN | PHD | 1841351053 |
| DR. IVERSON M. EICKEN | PH.D. | 1659418770 |
| DR. LIZA JILL RAVITZ | LIZA RAVITZ, PH.D | 1578698619 |
| DR. GARY L BUCK | PHD | 1841313418 |
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.