Mary Lou Kelley
Clinical Psychologist
7936 Wrenwood Blvd Ste B
Baton Rouge
, Louisiana 70809-7701
Mary Lou Kelley
Clinical Psychologist
7936 Wrenwood Blvd Ste B
Baton Rouge
, Louisiana 70809-7701
(225) 925-2036
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Mary Lou Kelley
- 7936 Wrenwood Blvd Ste B
- Baton Rouge, LA
- Zip : 70809-7701
- Phone : (225) 925-2036
Second Address
- Mary Lou Kelley
- 7936 Wrenwood Blvd Ste B
- Baton Rouge, LA
- Zip : 70809-7701
- Phone : (225) 925-2036
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 519 | LA |
| Y | 103TC0700X | Clinical Psychologist | 519 | LA |
National Provider Identifier
| NPI | 1003943937 |
|---|---|
| Provider Name | Mary Lou Kelley |
| First Address | Baton Rouge, LA 70809-7701 |
| Second Address | Baton Rouge, LA 70809-7701 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2007 |
| Last Update Date | 08/07/2007 |
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.