Individual
ERICA KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1111 W 10TH ST, INDIANAPOLIS, IN 46202-4800
(601) 466-9459
Mailing address
PO BOX 44994, INDIANAPOLIS, IN 46244-0994
(317) 274-4402
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042596A
IN
103TC2200X
Clinical Child & Adolescent Psychologist
20042596A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000785009
ANTHEM
IN
05
—
201086680
—
IN
Enumeration date
11/08/2010
Last updated
11/06/2013
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