Individual
DR. LUCIA KELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
405 W 23RD ST, 6E, NEW YORK, NY 10011-1404
(212) 366-5015
Mailing address
405 W 23RD ST, 6E, NEW YORK, NY 10011-1404
(212) 366-5015
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
006000
NY
103TC0700X
Clinical Psychologist
006000
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080961
GHI
NY
01
—
137035
VALUE OPTIONS
NY
Enumeration date
12/15/2006
Last updated
09/11/2025
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