Individual
DR. KELLY CARAVELLA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
101 RENEE LYNN CT, CARRBORO, NC 27510-6511
(203) 524-4349
Mailing address
5901 CORONADO LN, DURHAM, NC 27713-6643
(203) 524-4349
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5819
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
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Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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