Individual
DR. DEANE M KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8403 WILLOW ST, NEW ORLEANS, LA 70118-1339
(504) 319-5476
(504) 301-2190
Mailing address
837 ROOSEVELT PL, NEW ORLEANS, LA 70119-3823
(504) 301-2190
(504) 301-2190
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
883
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124869
—
LA
01
—
211040
CLINICAL PSYCHOLOGIST
LA
01
—
283194
CLINICAL PSYCHOLOGIST
LA
01
—
G6251
CLINICAL PSYCHOLOGIST
LA
Enumeration date
03/03/2007
Last updated
07/09/2007
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