Individual
DR. KATHERINE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1499 CHAIN BRIDGE RD STE 200, MC LEAN, VA 22101-5704
(520) 560-4018
Mailing address
1499 CHAIN BRIDGE RD STE 200, MC LEAN, VA 22101-5704
(520) 560-4018
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0810007743
VA
103TC0700X
Clinical Psychologist
Primary
0810007743
VA
Other
Enumeration date
10/01/2020
Last updated
06/28/2023
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