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SFKELLOGGPSYD LLC NPI 1215104674


NPI Information

NPI: 1215104674
Provider Name: SFKELLOGGPSYD LLC

Other Name: STEVEN F KELLOGG PSYD LLC LICENSED CLINICAL PSYCHOLOGIST

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
133 DEFENSE HWY
SUITE 210
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 266-6266
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SFKELLOGGPSYD LLC is a clinical psychologist in Annapolis, MD. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. SFKELLOGGPSYD LLC NPI is 1215104674. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Steven F Kellogg Psyd Llc Licensed Clinical Psychologist.

The provider's business location address is:

133 DEFENSE HWY
SUITE 210
ANNAPOLIS, MD
ZIP 21401-098
Phone: (410) 266-6266
Fax: (410) 266-7663

The provider's authorized official is Steven F Kellogg .
The authorized official title is Owner and has the following contact phone number (410) 266-6266.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical02589MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1RO9230MEDICARE UPINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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