Individual
MARY LOU KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7936 WRENWOOD BLVD STE B, BATON ROUGE, LA 70809-7701
(225) 925-2036
Mailing address
7936 WRENWOOD BLVD STE B, BATON ROUGE, LA 70809-7701
(225) 925-2036
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
519
LA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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