Individual
KELLY CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3434 E WASHINGTON AVE, MADISON, WI 53704-4155
(608) 443-5480
(608) 443-5554
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/01/2014
Last updated
01/05/2021
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