Individual
JEREMY MACLAREN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
179 SULLYS TRL STE 200, PITTSFORD, NY 14534-4500
(585) 276-6900
(585) 273-1066
Mailing address
300 CRITTENDEN BLVD BOX PSYCH, ROCHESTER, NY 14642-0001
(585) 276-6900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024880-01
NY
103TC0700X
Clinical Psychologist
24880
NY
Other
Enumeration date
05/09/2019
Last updated
03/21/2025
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