Individual
KELLI LYNN DOUVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
1001 FOURIER DR STE 200, MADISON, WI 53717-1958
(608) 740-2001
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3020-57
WI
103TC0700X
Clinical Psychologist
Primary
3020-57
WI
Other
Enumeration date
05/14/2026
Last updated
06/09/2026
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