Individual
DR. KEELY WATERS KAKLAMANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1664-2 METROPOLITAN CIRCLE, TALLAHASSEE, FL 32308-5413
(850) 528-8895
(850) 385-1191
Mailing address
1311 COVINGTON DR, TALLAHASSEE, FL 32312-2504
(850) 906-0331
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY7401
FL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PY7401
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY7401
FL
103TC0700X
Clinical Psychologist
Primary
PY7401
FL
103TC1900X
Counseling Psychologist
PY7401
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY7401
FL
103TE1100X
Exercise & Sports Psychologist
PY7401
FL
103TF0000X
Family Psychologist
PY7401
FL
Other
Enumeration date
03/12/2007
Last updated
05/07/2012
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