Individual
KELLY L NEWBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 W RIDGE RD STE 303, ROCHESTER, NY 14626-3037
(585) 448-0936
(585) 448-0973
Mailing address
2450 W RIDGE RD STE 303, ROCHESTER, NY 14626-3037
(585) 448-0936
(585) 448-0973
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021789
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00357502
—
NY
Enumeration date
04/17/2008
Last updated
10/18/2019
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