Individual
ALLYSON KETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
877 BALTIMORE ANNAPOLIS BLVD STE 202, SEVERNA PARK, MD 21146-4716
(410) 684-3806
Mailing address
877 BALTIMORE ANNAPOLIS BLVD STE 202, SEVERNA PARK, MD 21146-4716
(703) 869-4053
(410) 684-3973
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04712
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04712
LICENSE
MD
Enumeration date
03/05/2009
Last updated
02/16/2023
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