Dr. Kelly M Bush, Psy.D.
Psychologist in Walnut Creek, CA. Individual provider (NPI-1).
NPI number1649321191
StatusActive
Last updated in NPPESJan 24, 2022
Details
- NPI
- 1649321191
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kelly M Bush
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 12, 2007
- Certification date
- Jan 24, 2022
- Last updated
- Jan 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 19826 | CA | Yes |
Practice location
710 S Broadway Ste 300Dept Of Mental Health
Walnut Creek, CA 94596-5229
Phone 925-295-4145
Mailing address
710 S Broadway Ste 300Dept Of Mental Health
Walnut Creek, CA 94596-5229
Phone 925-295-4145
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