Individual
DR. JENNIFER FAYE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3280 HOWELL MILL RD NW, SUITE 100, ATLANTA, GA 30327-4111
(404) 351-6789
(404) 351-2932
Mailing address
3280 HOWELL MILL RD NW, SUITE 100, ATLANTA, GA 30327-4111
(404) 351-6789
(404) 351-2932
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1523
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00471732B
—
GA
Enumeration date
12/28/2006
Last updated
07/08/2007
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