Individual
DR. KELLY HAMOUDAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1100 31ST ST, DOWNERS GROVE, IL 60515-5509
(630) 469-9200
Mailing address
1100 31ST ST, DOWNERS GROVE, IL 60515-5509
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
071.010600
IL
103TC0700X
Clinical Psychologist
POSTDOC
IL
103TH0004X
Health Psychologist
—
—
Other
Enumeration date
08/26/2020
Last updated
10/12/2021
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