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Contact Information

KATHERINE J KELLY, PhD
9040 JACKSON AVENUE
TACOMA, WA98531
 Phone: 425-757-2920
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KATHERINE J KELLY · (Female)

NPI Number 1841483286
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/20/2007
Last updated 03/13/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 102699
  • SC License # 1070
  • WA License # PY60563485
  • SC Medicaid 1070
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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