Individual
DR. KELLY HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401-5824
(541) 554-3440
Mailing address
2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401-5824
(541) 554-3440
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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