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

DR. THERESA KELLAM, PSYCHOLOGIST

Active Sole Proprietor

Psychologist · FORT WORTH, TX

Registration Details

NPI Number: 1841271772
Provider Type: Individual
Gender: Female
NPI Issued: Nov 8, 2005 (20.451265289131 yrs)
Last Updated: Aug 13, 2009
License: 32518 (TX)
Sole Proprietor: Yes

Practice Information

Address: 2201 DOTTIE LYNN PARKWAY

SUITE 127

FORT WORTH, TX, 76120
Browse TX providers · Browse ZIP 76120
Phone: 8173137899
Fax: 8173037278
Primary Specialty: Psychologist
103T00000X

Other Psychologist Providers in FORT WORTH, TX

Name	Credential	NPI
DR. HARRY FITCH KLINEFELTER III	PHD	1700887528
CYNTHIA ANNE CLAASSEN	PHD	1487616561
JAMES BLUE	PH.D	1467415893
JANE A. COUNTS	PH.D.	1770525792
JAMES R HALL	PHD	1144264813
SIDNEY E O'BRYANT	PHD	1427084193

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.