Organization
KELLEY WILSON PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY WILSON PHD (PSYCHOLOGIST)
(251) 551-9470
Entity
Organization
Contact information
Practice address
25833 STATE HIGHWAY 181, DAPHNE, AL 36526-6101
(251) 551-9470
Mailing address
PO BOX 650, FAIRHOPE, AL 36533-0650
(251) 551-9470
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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