Jake Kelly

Forensic Psychologist · Wasco, CA

Individual Active NPI

NPI number 1386094993

Practice location

701 Scofield Ave
Wasco, CA 93280-7515
Phone
(661) 758-8400

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NPI record

NPI
1386094993
Entity type
Individual (Type 1)
Enumeration date
June 14, 2016
Last updated
June 14, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Forensic Psychologist Primary 103TF0200X — —

Mailing address

425 Estancia
Irvine, CA 92602-1108
Phone
(408) 505-0654

About Jake Kelly

Jake Kelly is a healthcare provider registered in the NPI registry with the primary taxonomy Forensic Psychologist (code 103TF0200X). The practice location is 701 Scofield Ave, Wasco, CA 93280-7515. The NPI number 1386094993 was assigned on June 14, 2016 and the record was last updated on June 14, 2016.

Frequently asked questions

What is the NPI number of Jake Kelly?

The NPI number is 1386094993.

What is the phone number of Jake Kelly?

The phone number listed for the practice location is (661) 758-8400.

Where is Jake Kelly located?

701 Scofield Ave, Wasco, CA 93280-7515.

What is the taxonomy code for Jake Kelly?

The primary taxonomy code is 103TF0200X – Forensic Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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