Individual
KELLY TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1806 W HILLS AVE APT 1, TAMPA, FL 33606-3238
(816) 401-8211
Mailing address
1806 W HILLS AVE APT 1, TAMPA, FL 33606-3238
(816) 401-8211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CO
103TC0700X
Clinical Psychologist
Primary
PY12695
FL
Other
Enumeration date
10/02/2018
Last updated
03/18/2025
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