Individual
DR. KELLY ELIZABETH KOLLIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3900 CHURCH ROAD, BANCROFT NEUROREHAB, MOUNT LAUREL, NJ 08054-9999
(856) 524-7412
(856) 216-9240
Mailing address
1 HARROWGATE CT, MARLTON, NJ 08053-4503
(610) 247-1442
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35SI00547700
NJ
103TC0700X
Clinical Psychologist
35SI00547700
NJ
Other
Enumeration date
07/20/2015
Last updated
11/23/2015
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