Individual
DR. LAWRENCE JOHN KELTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
5101 39TH AVE APT Q21, LONG ISLAND CITY, NY 11104-1154
(718) 672-7877
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
007007-1
NY
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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