Kelliher, Richard J

Kelliher, Richard J is an sole proprietor health care provider with primary practice located at 22 W Mission St Suite C, Santa Barbara CA 93101-2450. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Kelliher, Richard J can be contacted via phone (805) 687-8021.

Contact Information

Primary practice address
22 W Mission St Suite C Santa Barbara CA 93101-2450
Phone: (805) 687-8021
Fax: (805) 687-8021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY11772 California

Profile Details

NPI number 1851374235
LBN Legal business name Kelliher, Richard J
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2005
Last updated Oct 10th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851374235 NPPES
California MEDICAID PSY117720

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