Dr. Theresa K Kelso, PSYD
Psychologist, Clinical in Mountain Lakes, New Jersey
1083797682- Practice location
- 420 Boulevard, Suite 208, Mountain Lakes, NJ 07046-1742
- Phone
- 973-299-2888
- Fax
- 973-299-2876
- Last updated
- July 8, 2007
Theresa K Kelso is a Psychologist, Clinical based in Mountain Lakes, NJ. Theresa K Kelso practices in Mountain Lakes, NJ and has the professional credentials of PSYD. The NPI Number for Theresa K Kelso is 1083797682 and holds a License No. 35S1002377 (NJ). The current practice location address for Theresa K Kelso 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
- 1083797682
- Provider Name
- Theresa K Kelso
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- 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
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 24, 2006
- Last Update Date
- July 8, 2007
- 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 Dr. Theresa K Kelso, PSYD?
The NPI number of Dr. Theresa K Kelso, PSYD is 1083797682. It was assigned on October 24, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Theresa K Kelso, PSYD?
Dr. Theresa K Kelso, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35S1002377.
Where does Dr. Theresa K Kelso, PSYD 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 1083797682 directly on the NPPES registry website.