Dr. Kelly Ann Predieri
Psychologist
2365 Lakeview Dr Suite B
Beavercreek
, Ohio 45431-4600
Dr. Kelly Ann Predieri
Psychologist
2365 Lakeview Dr Suite B
Beavercreek
, Ohio 45431-4600
(937) 320-0824
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Kelly Ann Predieri
- 2365 Lakeview Dr Suite B
- Beavercreek, OH
- Zip : 45431-4600
- Fax : (937) 320-0824
- Phone : (937) 320-1218
Second Address
- Dr. Kelly Ann Predieri
- 2365 Lakeview Dr Suite B
- Beavercreek, OH
- Zip : 45431-4600
- Fax : (937) 320-0824
- Phone : (937) 320-1218
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 5479 | OH |
| Y | 103T00000X | Psychologist | 5479 | OH |
National Provider Identifier
| NPI | 1003970591 |
|---|---|
| Provider Name | Dr. Kelly Ann Predieri |
| First Address | Beavercreek, OH 45431-4600 |
| Second Address | Beavercreek, OH 45431-4600 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2006 |
| Last Update Date | 27/10/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.