Provider Demographics
NPI:1609183417
Name:PILLEY, KERRY LYNN
Entity Type:Individual
Prefix:MS
First Name:KERRY
Middle Name:LYNN
Last Name:PILLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5416 HOLDENER RD
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:CA
Mailing Address - Zip Code:95625
Mailing Address - Country:US
Mailing Address - Phone:707-453-6225
Mailing Address - Fax:707-447-7534
Practice Address - Street 1:5416 HOLDENER RD
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:CA
Practice Address - Zip Code:95625
Practice Address - Country:US
Practice Address - Phone:707-453-6225
Practice Address - Fax:707-447-7534
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health