Organization
DR. KELLY SWAIN,PSYCHOLOGIST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY SWAIN PH.D. (PSYCHOLOGIST)
(760) 944-6764
Entity
Organization
Contact information
Practice address
2236 ENCINITAS BLVD STE C, ENCINITAS, CA 92024-4375
(760) 944-6764
(760) 944-6764
Mailing address
2236 ENCINITAS BLVD STE C, ENCINITAS, CA 92024-4375
(760) 944-6764
(760) 944-6764
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY19196
CA
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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