Individual
DR. KELLY LEANNE FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3000 SCHATULGA RD, BLDG. 5, COLUMBUS, GA 31907-3117
(706) 565-7873
Mailing address
8400 VETERANS PKWY, APT. 1227, COLUMBUS, GA 31909-2416
(706) 565-7873
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
PSY003316
GA
Other
Enumeration date
11/29/2006
Last updated
09/22/2010
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