Kelly M. Vallango, EDS NCSP
NPI #1154690758 in Clarksburg, West Virginia
Provider Information
- NPI Number
- 1154690758
- Entity Type
- Individual
- Name
- Kelly M. Vallango, EDS NCSP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - School
- Credential
- EDS NCSP
- Enumeration Date
- Dec 28, 2011
- Last Updated
- Dec 28, 2011
Practice Location
- Address
- 48 EB SAUNDERS WAY
- City
- Clarksburg
- State
- West Virginia
- ZIP Code
- 26302-1370
- Phone
- (304) 624-6554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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