Individual
LORAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1410 17TH AVE S, NASHVILLE, TN 37212-2804
(615) 428-3226
Mailing address
1410 17TH AVE S, NASHVILLE, TN 37212-2804
(615) 428-3226
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3664
TN
Other
Enumeration date
12/04/2019
Last updated
12/22/2023
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