National Provider Identifier Database

KELLY M CHAMPION, PhD – NPI #1538354998
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

KELLY M CHAMPION, PhD
4820 MORTENSEN ROAD
SUITE 102
AMES, IA50014-5531
Phone: 781-552-6500
Fax: 888-859-4941
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Clinical Child & Adolescent 103TC2200X

* Indicates primary specialty

NPI Profile & details for KELLY M CHAMPION

NPI Number 1538354998
Credentials PhD
Entity Individual
Enumeration date 09/10/2007
Last updated 05/28/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • IA License #: 07388
  • MA License #: 8774
  • Other: $$$$$$$$$ SOCIAL
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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