Individual
DR. WILLIAM J. KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271-4743
(360) 454-1953
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
# 021901-PY00000785
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2045735
—
WA
Enumeration date
02/23/2007
Last updated
09/01/2015
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