Individual
DR. CASEY WILLIAM KELLIHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
416 XENIA AVE, YELLOW SPRINGS, OH 45387-1836
(937) 767-9171
(937) 767-9175
Mailing address
416 XENIA AVE, YELLOW SPRINGS, OH 45387-1836
(937) 767-9171
(937) 767-9175
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
4908
OH
103TA0700X
Adult Development & Aging Psychologist
4908
OH
103TB0200X
Cognitive & Behavioral Psychologist
4908
OH
103TC0700X
Clinical Psychologist
Primary
4908
OH
103TC2200X
Clinical Child & Adolescent Psychologist
4908
OH
103TF0000X
Family Psychologist
4908
OH
103TF0200X
Forensic Psychologist
4908
OH
103TH0004X
Health Psychologist
4908
OH
103TM1800X
Intellectual & Developmental Disabilities Psychologist
4908
OH
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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