Individual
DR. JOHNNA LYNETTE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6478
(540) 982-2463
Mailing address
3310 CIRCLE BROOK DR APT E, ROANOKE, VA 24018-8227
(706) 755-4717
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008007
VA
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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