Individual
ANITA L KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
1840 ROTH AVE, ALLENTOWN, PA 18104
(610) 435-6699
(610) 841-3547
Mailing address
1840 ROTH AVE, ALLENTOWN, PA 18104
(610) 435-6699
(610) 841-3547
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PC000176
PA
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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