Individual
KELLEY H. AHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
2403 W BEN WHITE BLVD, AUSTIN, TX 78704-7534
(512) 707-2782
(512) 707-2783
Mailing address
2403 W.BEN WHITE BLVD, AUSTIN, TX 78704
(512) 707-2782
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
30541
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029372202
—
TX
Enumeration date
08/23/2006
Last updated
03/25/2009
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