# DR. LAURENCE MERRILL KELLY JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750436457
- **Gender:** Man
- **Credential:** M.ED., PSY.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YS0200X | School Counselor | — | NH | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 9422 | MA | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 09/28/2011