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Individual

DR. FREDERICK WILLIAM KELSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
206 MECHANIC ST, CANTON, MA 02021-3189
(617) 486-4351
Mailing address
PO BOX 3, DEDHAM, MA 02027-0003
(617) 486-4351

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3750
MA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
3750
MA
103TC0700X
Clinical Psychologist
3750
MA
103TF0200X
Forensic Psychologist
3750
MA
103TH0100X
Health Service Psychologist
3750
MA

Other

Enumeration date
01/05/2007
Last updated
04/26/2026
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