Individual
KELLI ANN DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
163 PROSPECT PARK W, BROOKLYN, NY 11215-5271
(347) 993-0325
Mailing address
10300 SHORE FRONT PKWY, APT 10S, ROCKAWAY PARK, NY 11694-2788
(917) 535-7605
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018980
NY
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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