Kelatess PC

NPI #1659305860 in Burton, Michigan

Provider Information

NPI Number: 1659305860
Entity Type: Organization
Organization Name: Kelatess PC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jul 11, 2006
Last Updated: Nov 30, 2016

Practice Location

Address: 1441 E MAPLE AVE
City: Burton
State: Michigan
ZIP Code: 48529-2059
Phone: (810) 820-6265

Authorized Official

Name: DR. MATTHEW P. DICKSON, PHD
Title: PRESIDENT
Phone: (810) 606-1099

Specialties & Taxonomy Codes

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

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