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Individual
NORMAN L KELLEY
Active
Individual
NORMAN L KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009959
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02261512
—
NY
01
—
391513
MVP
NY
Enumeration date
08/03/2005
Last updated
07/08/2007
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