Individual
KELEY AUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
221 W SUBURBAN DR, FOX POINT, WI 53217-2300
(772) 240-9031
Mailing address
2400 E HARTFORD AVE # 791, MILWAUKEE, WI 53211-3159
(772) 240-9031
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
413557
WI
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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