Individual
DR. KELSEY ELIZABETH BANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1887 MONTEREY HWY STE 205, SAN JOSE, CA 95112-6192
(669) 219-5358
Mailing address
1887 MONTEREY HWY STE 205, SAN JOSE, CA 95112-6192
(669) 219-5358
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY30184
CA
Other
Enumeration date
07/13/2018
Last updated
12/16/2022
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