Individual
DR. JUDITH M. KELLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
166 ARROWHEAD CIRCLE, ASHLAND, MA 01721
(508) 596-9903
(508) 202-9246
Mailing address
166 ARROWHEAD CIRCLE, ASHLAND, MA 01721
(508) 596-9903
(508) 202-9246
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2453
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W02619
BLUECROSS BLUE SHIELD ID
MA
Enumeration date
05/01/2007
Last updated
07/08/2007
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