National Provider Identifier Database

THERESA KELLAM, PSYCHOLOGIST – NPI #1841271772
Psychologist

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.


Contact Information

THERESA KELLAM, PSYCHOLOGIST
2201 DOTTIE LYNN PARKWAY
SUITE 127
FORT WORTH, TX76120
Phone: 817-313-7899
Fax: 817-303-7278
Website:
Specialty Taxonomy Code
* Psychologist 103T00000X

* Indicates primary specialty

NPI Profile & details for THERESA KELLAM

NPI Number 1841271772
Credentials PSYCHOLOGIST
Entity Individual
Enumeration date 11/08/2005
Last updated 08/13/2009 - About 17 years ago
Sole proprietor1 Yes
Identifiers
  • TX License #: 32518
  • TX Other: 32518 PSYCHOLOGIST LICENSE
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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