Individual
KELLY WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
738 LIBRARY ROAD, ROOM 325, ROCHESTER, NY 14627-0472
(585) 275-3113
(585) 442-0815
Mailing address
738 LIBRARY ROAD, ROOM 325, ROCHESTER, NY 14627-0472
(585) 275-3113
(585) 442-0815
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0188884-1
NY
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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