Individual
MARY ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2201 E STATE ST, HERMITAGE, PA 16148-2727
(724) 981-7141
(724) 981-7148
Mailing address
644 7TH ST, TRAFFORD, PA 15085-1103
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS007755L
PA
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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