Individual
MS. KELLY FOSTER NERELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
3240 BURNT MILL DR STE 9A, WILMINGTON, NC 28403-2570
(910) 292-6676
(910) 292-4899
Mailing address
3240 BURNT MILL DR STE 9A, WILMINGTON, NC 28403-2570
(910) 292-6676
(910) 292-4899
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PA5114
NC
103TS0200X
School Psychologist
1149122
NC
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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