Mary Kelso, Ph.,d. INC
NPI #1164566881 in Thousand Oaks, California
Provider Information
- NPI Number
- 1164566881
- Entity Type
- Organization
- Organization Name
- Mary Kelso, Ph.,d. INC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Feb 16, 2007
- Last Updated
- Sep 28, 2007
Practice Location
- Address
- 325 E HILLCREST DR
- Address 2
- STE 115
- City
- Thousand Oaks
- State
- California
- ZIP Code
- 91360-5828
- Phone
- (805) 379-9600
Authorized Official
- Name
- DR. MARY KELSO, PH.D.
- Title
- PSYCHOLOGIST
- Phone
- (805) 379-9600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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