Individual
DR. BRIAN J KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
180 NORTH STREET, AUBURN, NY 13021-1811
(315) 255-2285
Mailing address
180 NORTH STREET, AUBURN, NY 13021-1811
(315) 255-2285
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
020001
NY
Other
Enumeration date
07/11/2012
Last updated
04/18/2013
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