O'Bryan, Kelly A

O'Bryan, Kelly A is an individual health care provider with primary practice located at 25143 Jack Rabbit Acres , Escondido CA 92026-1267. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. O'Bryan, Kelly A can be contacted via phone (760) 566-8648.

Contact Information

Primary practice address
25143 Jack Rabbit Acres Escondido CA 92026-1267
Phone: (760) 566-8648
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 24966 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY24966 California

Profile Details

NPI number 1093882698
LBN Legal business name O'Bryan, Kelly A
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Sep 12th, 2022 - about 4 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 1093882698 NPPES
California MEDICAID PSY24966

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