Individual
DR. KELLY M BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
710 S BROADWAY STE 300, DEPT OF MENTAL HEALTH, WALNUT CREEK, CA 94596-5229
(925) 295-4145
Mailing address
710 S BROADWAY STE 300, DEPT OF MENTAL HEALTH, WALNUT CREEK, CA 94596-5229
(925) 295-4145
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
19826
CA
Other
Enumeration date
01/12/2007
Last updated
01/24/2022
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