DR. Heather Lake Kelly, PSYD

NPI #1801931548 in Scotts Valley, California

Provider Information

NPI Number: 1801931548
Entity Type: Individual
Name: DR. Heather Lake Kelly, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Feb 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 800 BETHANY DR
City: Scotts Valley
State: California
ZIP Code: 95066-2820
Phone: (831) 438-3800

Specialties & Taxonomy Codes

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

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Organizations

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