Individual
JOHN CHRISTOPHER KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
8600 FATHOM CIR, 2404, AUSTIN, TX 78750-3037
(903) 244-8385
Mailing address
8600 FATHOM CIR, 2404, AUSTIN, TX 78750-3037
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36952
TX
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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