Individual
JOHN F KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5 EMERSON PLACE, MGH PSYCHOLOGY ASSESSMENT CENTER SUITE 105, BOSTON, MA 02114
(617) 643-1980
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIANS ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8549
MA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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