Individual
DR. KELLY COULEHAN CROTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4 SMITH HAVEN MALL STE 107, LAKE GROVE, NY 11755-1219
(646) 580-5107
Mailing address
4 SMITH HAVEN MALL STE 107, LAKE GROVE, NY 11755-1219
(646) 580-5107
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022496-1
NY
Other
Enumeration date
06/11/2019
Last updated
12/18/2025
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