Individual
DR. KELLY M CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10740 MERIDIAN AVE N, SUITE 110, SEATTLE, WA 98133-9010
(206) 696-2792
Mailing address
10740 MERIDIAN AVE N, SUITE 110, SEATTLE, WA 98133-9010
(206) 696-2792
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PY00002546
WA
103TC0700X
Clinical Psychologist
Primary
PY00002546
WA
103TH0004X
Health Psychologist
PY00002546
WA
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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