Individual
DR. BRANDI KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
310 RED MAPLE DR, MANDEVILLE, LA 70448-1090
(985) 778-9574
Mailing address
310 RED MAPLE DR, MANDEVILLE, LA 70448-1090
(985) 778-9574
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
851
LA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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