Individual
DR. DAVID J. KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
632 PLANK RD, SUITE 209, CLIFTON PARK, NY 12065
(518) 689-1399
Mailing address
756 MADISON AVE, ALBANY, NY 12208-3823
(518) 689-1399
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014048-1
NY
Other
Enumeration date
09/16/2006
Last updated
05/31/2012
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