Dr. Jeffrey Saunders Kellogg
Clinical Psychologist Clinical Child & Adolescent Psychologist
3412 S Illinois Ave
Carbondale
, Illinois 62903-8362
Dr. Jeffrey Saunders Kellogg
Clinical Psychologist Clinical Child & Adolescent Psychologist
3412 S Illinois Ave
Carbondale
, Illinois 62903-8362
(618) 457-8844
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About
Features
Specialties
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Saunders Kellogg
- 3412 S Illinois Ave
- Carbondale, IL
- Zip : 62903-8362
- Fax : (618) 457-8844
- Phone : (618) 457-4488
Second Address
- Dr. Jeffrey Saunders Kellogg
- 3412 S Illinois Ave
- Carbondale, IL
- Zip : 62903-8362
- Fax : (618) 457-8844
- Phone : (618) 457-4488
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Is Dr. Jeffrey Saunders Kellogg a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 071003739 | IL |
| N | 103TC0700X | Clinical Psychologist | 071003739 | IL |
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 071003739 | IL |
National Provider Identifier
| NPI | 1093740862 |
|---|---|
| Provider Name | Dr. Jeffrey Saunders Kellogg |
| First Address | Carbondale, IL 62903-8362 |
| Second Address | Carbondale, IL 62903-8362 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 25/03/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.