Individual
DR. JEFFREY SAUNDERS KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
3412 S ILLINOIS AVE, CARBONDALE, IL 62903-8362
(618) 457-4488
(618) 457-8844
Mailing address
3412 S ILLINOIS AVE, CARBONDALE, IL 62903-8362
(618) 457-4488
(618) 457-8844
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071003739
IL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071003739
IL
Other
Enumeration date
07/11/2006
Last updated
03/25/2015
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