Individual
DR. KELLY LYNN RAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1507 RIVERVIEW DR, MELBOURNE, FL 32901-4625
(321) 984-0708
(321) 984-9060
Mailing address
1507 RIVERVIEW DR, MELBOURNE, FL 32901-4625
(321) 984-0708
(321) 984-9060
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0004574
FL
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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