Individual
DR. LAURENCE MERRILL KELLY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
30 CANTON ST, SUITE 13, MANCHESTER, NH 03103-3524
(603) 625-1670
(603) 625-0335
Mailing address
30 CANTON ST, SUITE 13, MANCHESTER, NH 03103-3524
(603) 625-1670
(603) 625-0335
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
NH-659
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80008144
—
NH
Enumeration date
01/02/2007
Last updated
07/08/2007
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