Individual
KATELYN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S., LEP
Contact information
Practice address
1111 VAN NESS AVE, FRESNO, CA 93721-2002
(559) 265-3001
Mailing address
1111 VAN NESS AVE, FRESNO, CA 93721-2002
(559) 265-3001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LEP3738
CA
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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