Kellogg, Bethany S.

Kellogg, Bethany S. is an individual health care provider with primary practice located at 2100 Goshen Rd , Fort Wayne IN 46808-1493. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kellogg, Bethany S. can be contacted via phone (574) 936-9646.

Contact Information

Primary practice address
2100 Goshen Rd Fort Wayne IN 46808-1493
Phone: (574) 936-9646
Fax: (574) 936-9646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1295245835
LBN Legal business name Kellogg, Bethany S.
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2017
Last updated Feb 25th, 2021 - about 5 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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