Individual
DR. CONNIE KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
6756 WALKER AVE, SEBASTOPOL, CA 95472-4213
(707) 823-0143
(707) 823-0143
Mailing address
6756 WALKER AVE, SEBASTOPOL, CA 95472-4213
(707) 823-0143
(707) 823-0143
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY 8554
CA
Other
Enumeration date
01/09/2007
Last updated
02/23/2015
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