Defazio, Kellie
Defazio, Kellie is an sole proprietor health care provider with primary practice located at 31344 Via Colinas Ste 108 , Westlake Village CA 91362-6797. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Defazio, Kellie can be contacted via phone (805) 379-3212.Contact Information
Primary practice address
31344 Via Colinas Ste 108
Westlake Village CA 91362-6797
Phone: (805) 379-3212
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1275044554 |
|---|---|
| LBN Legal business name | Defazio, Kellie |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2017 |
| Last updated | Oct 13th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275044554 | NPPES |
| Other | 45-3589857 | THE HOLMAN GROUP |
Popular Providers
-
Hanin, Genine Ivy
3625 E Thousand Oaks Blvd 120, Westlake Village CA 91362-3626 -
Shore, Marilyn A
2659 Townsgate Road Suite 201, Westlake Village CA 91361 -
Muller, Melissa
650 Hampshire Rd , Westlake Village CA 91361-2510 -
Gerson, Michael Joel
32129 Lindero Canyon Rd Suite 201, Westlake Village CA 91361-4207 -
Cardenas, Lucia Estelle
2239 Townsgate Rd Ste 107 , Westlake Village CA 91361-2431 -
Gordon, Kenneth Steven
755 Lakefield Rd Ste J , Westlake Village CA 91361-2639 -
Haynes, Beth Alison
1014 S Westlake Blvd Ste 14-130 , Westlake Village CA 91361-3108 -
Silverman, Ryan
650 Hampshire Rd Ste 210 , Westlake Village CA 91361-2542