Individual
DR. KELLY LYNN GILRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3 COOPER PLZ, SUITE 307, CAMDEN, NJ 08103-1438
(856) 342-2328
(856) 541-6137
Mailing address
3 COOPER PLZ, SUITE 307, CAMDEN, NJ 08103-1438
(856) 342-2328
(856) 541-6137
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SI00445800
NJ
103TC0700X
Clinical Psychologist
PS016078
NJ
103TC0700X
Clinical Psychologist
PS016078
PA
Other
Enumeration date
08/25/2006
Last updated
07/07/2011
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