Thomas M.L. Kelly, Ed.D., Pa in Grapevine - Psychologist
Thomas M.L. Kelly, Ed.D., Pa - NPI 1720024532
Thomas M.L. Kelly, Ed.D., Pa is a Psychologist in Grapevine, Texas. Thomas M.L. Kelly, Ed.D., Pa practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Thomas M.L. Kelly, Ed.D., Pa is 1720024532. The last update date is 2020-08-22.
Thomas M.L. Kelly, Ed.D., Pa's current location address is 625 W College St, Grapevine, Texas. You can contact this provider via phone number 8174816951. The mailing address for Thomas M.L. Kelly, Ed.D., Pa is 625 W College St, Grapevine, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Thomas M.L. Kelly, Ed.D., Pa |
|---|---|
| Address | 625 W College St, Grapevine, Texas |
| Phone Number | 8174816951 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kelly M. L. Thomas |
| Credentials | ED.D. |
| Telephone Number | 8174816951 |
NPI Number Detail
| NPI Number | 1720024532 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 625 W College St |
|---|---|
| City | Grapevine |
| State | Texas (TX) |
| Post Code | 760515283 |
| Phone Number | 8174816951 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 22126 |
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Definition: 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 proce |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Thomas M.L. Kelly, Ed.D., Pa by the Centers for Medicare & Medicaid Services?
The Thomas M.L. Kelly, Ed.D., Pa has been issued the NPI (National Provider Identifier) 1720024532 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Thomas M.L. Kelly, Ed.D., Pa is located?
The Thomas M.L. Kelly, Ed.D., Pa is situated at the following address: 625 W College St, Grapevine, TX, 760515283.
What is the area of specialization for Thomas M.L. Kelly, Ed.D., Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Thomas M.L. Kelly, Ed.D., Pa is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720024532 to Thomas M.L. Kelly, Ed.D., Pa?
The Thomas M.L. Kelly, Ed.D., Pa received its 1720024532 assignment from the Centers for Medicare & Medicaid Services on 2006-06-21.
When was the Thomas M.L. Kelly, Ed.D., Pa's information last updated?
The Thomas M.L. Kelly, Ed.D., Pa's information was last updated on 2020-08-22.
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