Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY DAE KETTLEWELL, PH.D.
Active Sole ProprietorKELLY DAE KETTLEWELL, PH.D. is a Counseling Psychologist healthcare provider located in WILLIAMSPORT, Pennsylvania. NPI 1285389544 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · WILLIAMSPORT, PA
Registration Details
- NPI Number
- 1285389544
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 15, 2022 (4.4868906229142 yrs)
- Last Updated
- Feb 8, 2023
- License
-
PS017216 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
49 E 4TH ST STE 205WILLIAMSPORT, PA, 177016355Browse PA providers · Browse ZIP 17701
- Phone
- 5706014788
- Primary Specialty
-
Counseling Psychologist
103TC1900X
Other Counseling Psychologist Providers in WILLIAMSPORT, PA
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD H. CRAIG | MA | 1982644050 |
| ANN MARIE BRUNO | PSY.D | 1407157365 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.