Individual
DR. KELLI L PELLEGRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
142 SW 2ND AVE, CANBY, OR 97013-4152
(503) 266-5411
(503) 266-5415
Mailing address
PO BOX 682, CANBY, OR 97013
(503) 266-5411
(503) 266-5415
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1436
OR
Other
Enumeration date
03/19/2007
Last updated
02/25/2008
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