Individual
MS. KELLY LEE TEEPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS IN EDUCATION
Contact information
Practice address
1500 WESTON RD, SUITE 211, WESTON, FL 33326-3263
(786) 423-1637
Mailing address
1483 SW 18TH TER, FORT LAUDERDALE, FL 33312-4128
(786) 423-1637
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
1-04-1677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689927796
—
FL
05
—
689927798
—
FL
Enumeration date
02/16/2006
Last updated
09/12/2013
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