Provider Demographics
NPI:1326893983
Name:ARRIGHI, KELLY ERIN (MA, PPS)
Entity Type:Individual
Prefix:MS
First Name:KELLY
Middle Name:ERIN
Last Name:ARRIGHI
Suffix:
Gender:F
Credentials:MA, PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 399
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:CA
Mailing Address - Zip Code:95361-0399
Mailing Address - Country:US
Mailing Address - Phone:209-605-4926
Mailing Address - Fax:
Practice Address - Street 1:805 1ST ST
Practice Address - Street 2:
Practice Address - City:ESCALON
Practice Address - State:CA
Practice Address - Zip Code:95320-1508
Practice Address - Country:US
Practice Address - Phone:209-838-7095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool