Individual
MS. KELLIE RUTH SULIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1107 W POPLAR AVE, PORTERVILLE, CA 93257-5839
(877) 960-3426
Mailing address
305 E CENTER AVE, VISALIA, CA 93291-6331
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY28260
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2008
Last updated
07/19/2016
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