DR. Theresa Ann Kelly, PSY.D.

NPI #1477663763 in Marion, Illinois

Provider Information

NPI Number: 1477663763
Entity Type: Individual
Name: DR. Theresa Ann Kelly, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSY.D.
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2401 W MAIN ST
City: Marion
State: Illinois
ZIP Code: 62959-1188
Phone: (618) 997-5311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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