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Individual

DR. JULIE ANN KELLAWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1762 HOFFMAN DR, LOVELAND, CO 80538-4292
(970) 541-8134
Mailing address
1762 HOFFMAN DR, LOVELAND, CO 80538-4292
(970) 541-8134

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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