DR. Theresa K Kelso, PSY.D

NPI #1083797682 in Mountain Lakes, New Jersey

Provider Information

NPI Number
1083797682
Entity Type
Individual
Name
DR. Theresa K Kelso, PSY.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PSY.D
Enumeration Date
Oct 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
420 BOULEVARD
Address 2
SUITE 208
ZIP Code
07046-1742
Phone
(973) 299-2888

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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Organizations

Provider Name
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