Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY D DISTELRATH, LLP
ActiveKELLY D DISTELRATH, LLP is a Clinical Psychologist healthcare provider located in PORT HURON, Michigan. NPI 1598976375 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · PORT HURON, MI
Registration Details
- NPI Number
- 1598976375
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2007 (19.217049141729 yrs)
- Last Updated
- Mar 3, 2021
- License
-
6361007549 (MI)
Practice Information
- Address
-
520 SUPERIOR STPORT HURON, MI, 480603838Browse MI providers · Browse ZIP 48060
- Phone
- 8109844202
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in PORT HURON, MI
| Name | Credential | NPI |
|---|---|---|
| SHERRI WESTBROOK | M.S., L.L.P. | 1245240258 |
| MR. PETER FRANK FRONTIERO | L.L.P. | 1467463943 |
| MR. KEVIN EUGENE DOOLEY | — | 1316959992 |
| MRS. COLLEEN KAY SKRYPKUN | L.L.P., C.A.A.D.C. | 1578576492 |
| MICHELLE M ROUSSEAU | PSY.D. | 1366555286 |
| THOMAS A SEILHEIMER | PH.D. | 1962515577 |
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.