Individual
STEPHANIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7620 W 159TH ST STE 101, ORLAND PARK, IL 60462-5400
(708) 714-7377
Mailing address
7620 W 159TH ST STE 101, ORLAND PARK, IL 60462-5400
(708) 714-7377
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009850
IL
Other
Enumeration date
03/18/2010
Last updated
05/01/2023
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