Individual
DR. KELLY MOORE SCHIRR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
166 DEROSIER DR, JOHNSON CITY, TN 37614-5200
(423) 439-7777
(423) 438-7780
Mailing address
PO BOX 70416, ETSU DEPT OF PSYCHOLOGY, JOHNSON CITY, TN 37614
(423) 439-4849
(423) 439-7780
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3594
TN
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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