Individual
LISA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., ED.S.
Contact information
Practice address
11765 HAMILTON AVE, CINCINNATI, OH 45231-1128
(513) 825-7070
Mailing address
11083 HAMILTON AVE, CINCINNATI, OH 45231-1409
(513) 674-4200
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
21158298
OH
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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