Individual
RYAN ANDREW MCKELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
542 JOHNSON ST, ONALASKA, WI 54650-2066
(608) 797-3313
Mailing address
542 JOHNSON ST, ONALASKA, WI 54650-2066
(608) 797-3313
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2924-57
WI
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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