Individual
DR. BARBARA H. KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2645 1ST AVE, SAN DIEGO, CA 92103-6506
(619) 890-8491
(619) 435-1456
Mailing address
1810 AVENIDA DEL MUNDO, UNIT 807, CORONADO, CA 92118-3003
(619) 890-8491
(619) 435-1456
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY18148
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY18148
CA STATE LICENSE NUMBER
CA
Enumeration date
03/05/2007
Last updated
07/22/2014
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