T. K. Kelso, Psy.d, LLC
Psychologist, Clinical in Mountain Lakes, New Jersey
1033369699- Practice location
- 420 Boulevard, Suite 208, Mountain Lakes, NJ 07046-1742
- Phone
- 973-299-2888
- Fax
- 973-299-2876
- Last updated
- December 29, 2008
T. K. Kelso, Psy.d, LLC is a healthcare organization based in Mountain Lakes, NJ. T. K. Kelso, Psy.d, LLC practices in Mountain Lakes, NJ. The NPI Number for T. K. Kelso, Psy.d, LLC is 1033369699 and holds a License No. 35S1002377 (NJ). The current practice location address for T. K. Kelso, Psy.d, LLC is 420 Boulevard, Suite 208, Mountain Lakes, NJ 07046-1742 and can be reached out via phone at 973-299-2888 and via fax at 973-299-2876.
Provider Profile Details
- NPI Number
- 1033369699
- Provider Name
- T. K. Kelso, Psy.d, LLC
- Provider Entity Type
- Organization
- Address
- 420 Boulevard, Suite 208, Mountain Lakes, NJ 07046-1742
- Phone Number
- 973-299-2888
- Fax Number
- 973-299-2876
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Dr. Theresa K Kelso, PSYD · Owner · 973-299-2888
- Provider Enumeration Date
- September 19, 2008
- Last Update Date
- December 29, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 420 Boulevard, Suite 208
Mountain Lakes, NJ 07046-1742 - City
- Mountain Lakes
- State
- New Jersey
- Zip
- 07046-1742
- Phone Number
- 973-299-2888
- Fax Number
- 973-299-2876
Provider Business Mailing Address Details
- Address
- 420 Boulevard, Suite 208
Mountain Lakes, NJ 07046-1742 - City
- Mountain Lakes
- State
- NJ
- Zip
- 07046-1742
- Phone Number
- 973-299-2888
- Fax Number
- 973-299-2876
License Information
- License Number
- 35S1002377
- License State
- NJ
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Mountain Lakes, NJ
View all Psychologist, Clinical providers in Mountain Lakes →Frequently Asked Questions
What is the NPI number of T. K. Kelso, Psy.d, LLC?
The NPI number of T. K. Kelso, Psy.d, LLC is 1033369699. It was assigned on September 19, 2008 and is currently active in the NPPES registry.
What is the specialty of T. K. Kelso, Psy.d, LLC?
T. K. Kelso, Psy.d, LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35S1002377.
Where does T. K. Kelso, Psy.d, LLC practice?
The practice location is 420 Boulevard, Suite 208, Mountain Lakes, NJ 07046-1742. The office can be reached at 973-299-2888 (phone) or 973-299-2876 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033369699 directly on the NPPES registry website.