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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DOMINIK LIA KELLER, PHD

Active

DR. DOMINIK LIA KELLER, PHD is a School Psychologist healthcare provider located in SOUTHAVEN, Mississippi. NPI 1710627922 is currently active in the NPPES registry. Verify at CMS.

School Psychologist · SOUTHAVEN, MS

Registration Details

NPI Number
1710627922
Provider Type
Individual
Gender
Female
NPI Issued
Mar 29, 2022 (4.3476090574669 yrs)
Last Updated
Dec 15, 2022
License
621149 (MS)

Practice Information

Address
5915 GETWELL RD BLDG B
SOUTHAVEN, MS, 386726455
Browse MS providers · Browse ZIP 38672
Phone
6623492979
Primary Specialty
School Psychologist
103TS0200X
Additional Specialty
Behavior Technician

Other School Psychologist Providers in SOUTHAVEN, MS

Name Credential NPI
OLIVIA CHONTE KING DEBERRY 1487227138
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.