Individual provider · Type 1 NPI

Constance Kellogg, PhD

Student in an Organized Health Care Education/Training Program · Tarzana, CA

NPI number 1497375901 Active

Practice location

18646 Oxnard St
Tarzana, CA 91356-1411

Call (818) 996-1051 Map

Mailing address

5205 Carmento Dr
Oak Park, CA 91377-4857

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497375901

Constance Kellogg, PhD's National Provider Identifier is 1497375901, issued on Apr 24, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tarzana, CA. The record was last updated on Apr 24, 2020.