Individual
KELLY HANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
URMC 575 ELMWOOD AVE, ROCHESTER, NY 14642-1900
(216) 318-5414
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-4486
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023278-01
NY
103TC0700X
Clinical Psychologist
23278
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2017
Last updated
06/30/2023
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