Individual
DR. KELLY C. RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
721 ORWOOD PL, SYRACUSE, NY 13208-3124
(315) 313-4031
Mailing address
721 ORWOOD PL, SYRACUSE, NY 13208-3124
(315) 313-4031
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019444-1
NY
Other
Enumeration date
07/26/2013
Last updated
01/25/2017
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