Individual
DR. JOELLE ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
23 BAY STATE COURT, BREWSTER, MA 02631-2120
(508) 430-0589
(508) 430-5207
Mailing address
23 BAY STATE COURT, BREWSTER, MA 02631-2120
(508) 430-0589
(508) 430-5207
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PS0595
ME
103TC0700X
Clinical Psychologist
Primary
PSY4274
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007491474
AETNA
—
01
—
005530
PACIFICARE OLD HPHC VALUE
—
05
—
0517879
—
MA
01
—
103041
VALUE OPTIONS INC HMO NEW
—
01
—
13445513
MAGELLAN BEHAVIORAL HEALT
—
01
—
460402
TUFTS HEALTH CARE
—
01
—
KEW04483
BCBS INDEMNITY
MA
01
—
W04483
BCBS MA
MA
Enumeration date
01/30/2007
Last updated
07/08/2007
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