Individual
DR. KELLY MURPHY OLMSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
903 FOREST ST, GEORGETOWN, TX 78626-5523
(512) 930-0884
(512) 931-9413
Mailing address
903 FOREST ST, GEORGETOWN, TX 78626-5523
(512) 930-0884
(512) 931-9413
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
24080
TX
103TC0700X
Clinical Psychologist
Primary
24080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035231201
—
TX
Enumeration date
09/13/2006
Last updated
06/11/2008
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