Individual
DR. KELLY ANN NABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
100 S BROAD ST, 17TH FLOOR, PHILADELPHIA, PA 19110-1023
(215) 701-1560
Mailing address
100 SOUTH BROAD STREET, PHILADELPHIA, PA 19110
(215) 701-1560
(215) 701-1575
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017024
PA
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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