Individual
MS. SHEILA EMERSON KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1031 QUARRIER ST, CHARLESTON, WV 25301-2317
(304) 343-3231
Mailing address
PO BOX 3738, CHARLESTON, WV 25337-3738
(304) 343-3231
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
307
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165473000
—
WV
Enumeration date
01/24/2007
Last updated
07/09/2007
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