Organization
BARBARA E KELLY PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA E. KELLY PH.D. (MANAGER)
(407) 951-8812
Entity
Organization
Contact information
Practice address
100 E VENTRIS AVE, MAITLAND, FL 32751-5626
(407) 951-8812
(407) 951-8869
Mailing address
100 E VENTRIS AVE, MAITLAND, FL 32751-5626
(407) 951-8812
(407) 951-8869
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5762
FL
Other
Enumeration date
12/21/2006
Last updated
07/10/2012
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