Individual
ANN MARIE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1001 WEST AVE, AUSTIN, TX 78701-2071
(512) 784-7244
(512) 542-9027
Mailing address
1001 WEST AVE, AUSTIN, TX 78701-2071
(512) 784-7244
(512) 542-9027
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
25629
TX
103TF0000X
Family Psychologist
25629
TX
103TF0200X
Forensic Psychologist
Primary
25629
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034MX
BLUE CROSS BLUE SHEILD
TX
Enumeration date
04/05/2007
Last updated
09/11/2025
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