Kelley, Diane Renee

Kelley, Diane Renee is an sole proprietor health care provider with primary practice located at 1021 N Sepulveda Blvd Suite H, Manhattan Beach CA 90266-5965. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kelley, Diane Renee can be contacted via phone (310) 559-3164.

Contact Information

Primary practice address
1021 N Sepulveda Blvd Suite H Manhattan Beach CA 90266-5965
Phone: (310) 559-3164
Fax: (310) 802-8856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY12962 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC5783 California

Profile Details

NPI number 1194819797
LBN Legal business name Kelley, Diane Renee
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Mar 2nd, 2016 - about 10 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.

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