# DR. KELLI LYNN MCSWAN

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

## Provider details

- **NPI number:** 1831312032
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | PSY 18574 | CA | — |
| 103TC0700X | Clinical Psychologist | PSY 18574 | CA | Yes |
| 103TH0100X | Health Service Psychologist | PSY 18574 | CA | — |
| 103TR0400X | Rehabilitation Psychologist | PSY 18574 | CA | — |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 03/27/2024
