Moreno, Joseph Kelly

Moreno, Joseph Kelly is an sole proprietor health care provider with primary practice located at 6642 Bellevue Orchard Ln , San Luis Obispo CA 93405-8067. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Moreno, Joseph Kelly can be contacted via phone (805) 756-2805.

Contact Information

Primary practice address
6642 Bellevue Orchard Ln San Luis Obispo CA 93405-8067
Phone: (805) 756-2805
Fax: (805) 756-1134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY 13000 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X 4940521-2501 Utah

Profile Details

NPI number 1578860938
LBN Legal business name Moreno, Joseph Kelly
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2011
Last updated Feb 22nd, 2011 - about 15 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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