Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CONNIE KELLOGG, PSYCHOLOGIST
Active Sole ProprietorDR. CONNIE KELLOGG, PSYCHOLOGIST is a Cognitive & Behavioral Psychologist healthcare provider located in SEBASTOPOL, California. NPI 1821147158 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · SEBASTOPOL, CA
Registration Details
- NPI Number
- 1821147158
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2007 (19.590980616025 yrs)
- Last Updated
- Feb 23, 2015
- License
-
PSY 8554 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6756 WALKER AVESEBASTOPOL, CA, 954724213Browse CA providers · Browse ZIP 95472
- Phone
- 7078230143
- Fax
- 7078230143
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
Other Cognitive & Behavioral Psychologist Providers in SEBASTOPOL, CA
| Name | Credential | NPI |
|---|---|---|
| DR. LAURA JEAN HAVSTAD | PH.D. | 1801923396 |
| DR. JUSTIN COLLMANN | PH.D. | 1386017754 |
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.