Individual
JOSHUA G KELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0414
(602) 933-4252
Mailing address
1919 E THOMAS RD BLDG 2108, STE 101, PHOENIX, AZ 85016-7710
(602) 933-1813
(602) 933-1820
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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