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Individual

DR. KELLY CRISTEN O'LAUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MT-BC, PSYD

Contact information

Practice address
4515 PREMIER DR STE 402A, HIGH POINT, NC 27265-8356
(336) 702-1255
(336) 802-2201
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-1331

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TC0700X
Clinical Psychologist
4074
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6001256
NC
Enumeration date
11/24/2010
Last updated
10/13/2022
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