Individual
DR. DONNA MARIE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1145 KING RD, IMMACULATA, PA 19345-9903
(610) 647-4400
(610) 647-2324
Mailing address
1145 KING RD, P.O. BOX 400, IMMACULATA, PA 19345-9903
(610) 647-4400
(610) 647-2324
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSO16631
PA
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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