Individual
DR. PATRICIA M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
305 VALLEYBROOK RD, CHESTER HEIGHTS, PA 19017-0534
(610) 358-2250
(610) 358-2251
Mailing address
1477 WAYNE DR, WEST CHESTER, PA 19382-6872
(610) 793-2948
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005647L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
616744
BLUE CROSS BLUE SHIELD
PA
Enumeration date
04/11/2007
Last updated
05/19/2009
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