Thomas M. L. Kelly ED.D.

NPI 1033140470 - Psychologist - 103T00000X

NPI Details
NPI 1033140470
Gender Male
Enumeration Date 07/05/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
625 W COLLEGE ST
SUITE 109
GRAPEVINE TX, 76051-5283, US
Phone (817) 481-6951
Fax
Business Location
625 W COLLEGE ST
SUITE 109
GRAPEVINE TX, 76051-5283, US
Phone (817) 481-6951
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Texas
License Number 22126
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According to our database, Dr. Thomas M. L. Kelly ED.D. NPI is 1033140470, taxonomy code is 103T00000X and license number is 22126, license state is located at Texas. Thomas M. L. Kelly ED.D. physically located at 625 W College St, Grapevine TX, 76051-5283. NPI Number Thomas M. L. Kelly ED.D. has the Individual type.

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1033140470 NPI number is provided on an as is basis without warranty of any kind. 1033140470 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas M. L. Kelly ED.D. are for informational purposes only.