Individual
DR. KELLI J DEIACO
Active
Individual
DR. KELLI J DEIACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC004790
PA
103TC0700X
Clinical Psychologist
B1-0011334
DE
103TC0700X
Clinical Psychologist
Primary
PS018210
PA
Other
Enumeration date
03/05/2008
Last updated
04/18/2025
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