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Contact Information

CAROL A KELLY, ED.D.
10451 TENNESSEE AVE
LOS ANGELES, CA90064-2329
 Phone: 310-475-7434
 Fax: 310-475-7844
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CAROL A KELLY · (Female)

NPI Number 1528249091
Status Active
Credentials ED.D.
Entity Individual
Enumeration date 11/26/2007
Last updated 11/26/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY 5359
  • CA Other OOPL53590 MEDICAL
Hospital affiliation(s) Not Available
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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