Individual provider · Type 1 NPI
Jake Kelly
Forensic Psychologist · Wasco, CA
NPI number
1386094993
Active
Practice location
701 Scofield Ave
Wasco, CA 93280-7515
Mailing address
425 Estancia
Irvine, CA 92602-1108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Forensic Psychologist Primary | 103TF0200X | None listed |
Forensic Psychologist: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
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About NPI 1386094993
Jake Kelly's National Provider Identifier is 1386094993, issued on Jun 14, 2016. The primary taxonomy on file is Forensic Psychologist (103TF0200X), and the practice location is in Wasco, CA. The record was last updated on Jun 14, 2016.