KELLIE DEFAZIO

WESTLAKE VILLAGE, CA
NPI1275044554
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
Enumeration Date2017-10-13
Last Update Date2017-10-13
Business Address
KELLIE DEFAZIO BA
31344 VIA COLINAS STE 108
WESTLAKE VILLAGE, CA 91362-6797
Phone number: 805-379-3212
Mailing Address
KELLIE DEFAZIO BA
31344 VIA COLINAS STE 108
WESTLAKE VILLAGE, CA 91362-6797
Phone number: 805-379-3212