Organization
CLINICAL PSYCHOLOGISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTAL KELLEY PH.D. (PRESIDENT/CLINICAL PSYCHOLOGIST)
(334) 821-3350
Entity
Organization
Contact information
Practice address
248 E GLENN AVE, AUBURN, AL 36830-4818
(334) 821-3350
(334) 821-3252
Mailing address
248 E GLENN AVE, AUBURN, AL 36830-4818
(334) 821-3350
(334) 821-3252
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
181
AL
103TC0700X
Clinical Psychologist
578
AL
103TC0700X
Clinical Psychologist
Primary
607
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51003710
BCBS
AL
01
—
51509821
BCBS
AL
01
—
51533703
BCBS
AL
01
—
51533748
BCBS
AL
01
—
70627
BCBS
AL
01
—
70628
BCBS
AL
01
—
72183
BCBS
AL
01
—
72343
BCBS
AL
01
—
73346
BCBS
AL
Enumeration date
07/05/2006
Last updated
08/22/2020
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