Organization
LUMA PSYCHOLOGY PLLC
Active
Other names
Theresa Kellam, Ph.D. Licensed Psychologist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA KELLAM PHD (OWNER/PSYCHOLOGIST)
(817) 313-7899
Entity
Organization
Contact information
Practice address
2201 DOTTIE LYNN PKWY STE 127, FORT WORTH, TX 76120-4435
(817) 313-7899
Mailing address
2201 DOTTIE LYNN PKWY STE 127, FORT WORTH, TX 76120-4435
(817) 313-7899
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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