Organization
ANCORA PSYCHOLOGICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE MERRILL KELLY JR. PSY.D. (CLINICAL PSYCHOLOGIST)
(781) 224-4202
Entity
Organization
Contact information
Practice address
591 NORTH AVE, DOOR #3, FIRST FLOOR, WAKEFIELD, MA 01880-1647
(781) 224-4202
(781) 224-4203
Mailing address
591 NORTH AVE, DOOR #3, FIRST FLOOR, WAKEFIELD, MA 01880-1647
(781) 224-4202
(781) 224-4203
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9422
MA
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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