Individual
DR. JULIE ANN KELLAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
CO3872
CO
103TC0700X
Clinical Psychologist
Primary
PSY.0003872
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87930544
—
CO
Enumeration date
12/11/2006
Last updated
04/17/2019
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