Organization
T. K. KELSO, PSY.D, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA K KELSO PSY.D (OWNER)
(973) 299-2888
Entity
Organization
Contact information
Practice address
420 BOULEVARD, SUITE 208, MOUNTAIN LAKES, NJ 07046-1742
(973) 299-2888
(973) 299-2876
Mailing address
420 BOULEVARD, SUITE 208, MOUNTAIN LAKES, NJ 07046-1742
(973) 299-2888
(973) 299-2876
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S1002377
NJ
Other
Enumeration date
09/19/2008
Last updated
12/29/2008
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