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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 Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THERESA KELLAM · (Female)

NPI # 1841271772
Status Active
Credentials PSYCHOLOGIST
Entity Individual
Enumeration date 11/08/2005
Last updated 08/13/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 32518
  • TX Other 32518 PSYCHOLOGIST LICENSE
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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