Individual
DR. KELLY ANN MENDONCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
483 CLERMONT AVE, 3RD FLOOR, BROOKLYN, NY 11238-2253
(718) 643-5300
Mailing address
483 CLERMONT AVE, 3RD FLOOR, BROOKLYN, NY 11238-2253
(718) 643-5300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001641-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
P92114
NY
Other
Enumeration date
05/23/2008
Last updated
10/24/2014
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