person
Dr. Kelly L. Irvine, PSYD
Cognitive & Behavioral Psychologist in Columbia, Missouri
NPI 1134207269

Kelly L. Irvine is a Cognitive & Behavioral Psychologist based in Clinton, MO and is specialized in Cognitive & Behavioral. Kelly L. Irvine practices in Columbia, MO and has the professional credentials of PSYD. The NPI Number for Kelly L. Irvine is 1134207269 and holds a License No. 2018042229 (Missouri).

The current practice location address for Kelly L. Irvine is 1000 W Nifong Blvd Bldg 6, Columbia, MO and can be reached out via phone at 888-403-1071.

Location: 1000 W Nifong Blvd Bldg 6, Columbia, MO, 64735-8804
person
Provider Profile Details
NPI Number
1134207269
Provider Name
Kelly L. Irvine
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1000 W Nifong Blvd Bldg 6, Columbia, MO, 64735-8804
Phone Number
888-403-1071
Fax Number
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50583 01 NRHSP IN PSYCH
NATIONAL REGISTER # 01 AZ 50583
APA MEMBERSHIP # 01 AZ 69103091
AZ0616050 01 AZ BC/BS
116730 01 AZ BHN
5457314 01 AZ FIRST HEALTH/CNN
415 01 IA IA HSP #
141592 05 LA
803925 05 AZ
2128566 01 AZ CIGNA
228289 01 AZ ONE HEALTH & GWL
291968 01 AZ MHN
4142 01 CPQ
86-1043861 01 AZ MAGELAN, BIODYNE, AETNA
institution
Provider Business Practice Location Address Details
Address
1000 W Nifong Blvd Bldg 6
City
State
Zip
65203-5615
Phone Number
888-403-1071
Fax Number
person
Provider Business Mailing Address Details
Address
1000 W Nifong Blvd Bldg 6
City
State
Zip
65203-5615
Phone Number
888-403-1071
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Cognitive & Behavioral
Taxonomy
License No.
2018042229 (Missouri)
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
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