Individual
A. ELISE CONROY KEGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
416 E FORT DADE AVE, BROOKSVILLE, FL 34601-2615
(352) 544-0910
(352) 754-8411
Mailing address
416 E FORT DADE AVE, BROOKSVILLE, FL 34601-2615
(352) 544-0910
(352) 754-8411
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0000323
FL
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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