Individual
AUSTIN NEEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2401 SOUTH 31ST STREET, MAILSTOP: MS-22-103E, TEMPLE, TX 76508
(254) 725-3874
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
39255
TX
103TC0700X
Clinical Psychologist
Primary
39255
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2016
Last updated
09/23/2022
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