Spears, Kenneth Bernard

Spears, Kenneth Bernard is an sole proprietor health care provider with primary practice located at 1644 Oxford Way , Stockton CA 95204-4259. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Spears, Kenneth Bernard can be contacted via phone (323) 481-9681.

Contact Information

Primary practice address
1644 Oxford Way Stockton CA 95204-4259
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 29427 California

Profile Details

NPI number 1700390366
LBN Legal business name Spears, Kenneth Bernard
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2017
Last updated Nov 18th, 2017 - about 9 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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