Individual
DR. KELLI ELIZABETH MORAN-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
(650) 725-2607
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
(650) 725-2607
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
001230
IA
103T00000X
Psychologist
Primary
PSY28013
CA
103TC1900X
Counseling Psychologist
001230
IA
103TE1100X
Exercise & Sports Psychologist
001230
IA
103TH0100X
Health Service Psychologist
077200
IA
Other
Enumeration date
10/27/2015
Last updated
04/19/2023
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