Organization
KELLY & NGUYEN-KELLY PSYCHOLOGICAL AND CONSULTING SERVICES, LLC
Active
Organization
KELLY & NGUYEN-KELLY PSYCHOLOGICAL AND CONSULTING SERVICES, LLC
Active
Other names
Maplewood Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E. KELLY PSY.D. (PARTNER)
(651) 770-1311
Entity
Organization
Contact information
Practice address
2399 ARIEL ST N STE D, MAPLEWOOD, MN 55109-2202
(651) 770-1311
(651) 770-1879
Mailing address
2399 ARIEL ST N STE D, MAPLEWOOD, MN 55109-2202
(651) 770-1311
(651) 770-1879
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
LP 4596
MN
103TC0700X
Clinical Psychologist
Primary
LP 5043
MN
103TC2200X
Clinical Child & Adolescent Psychologist
LP 5043
MN
103TP2701X
Group Psychotherapy Psychologist
LP 4596
MN
103TP2701X
Group Psychotherapy Psychologist
LP 5043
MN
Other
Enumeration date
04/23/2009
Last updated
06/10/2022
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