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Kelly D Distelrath, LLP
Clinical Psychologist in Port Huron, Michigan
NPI 1598976375

Kelly D Distelrath is a Clinical Psychologist based in Ferndale, MI and is specialized in Clinical. Kelly D Distelrath practices in Port Huron, MI and has the professional credentials of LLP. The NPI Number for Kelly D Distelrath is 1598976375 and holds a License No. (Michigan).

The current practice location address for Kelly D Distelrath is 520 Superior St, Port Huron, MI and can be reached out via phone at 810-984-4202.

Location: 520 Superior St, Port Huron, MI, 48220-1608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598976375
Provider Name
Kelly D Distelrath
Credential
LLP
Provider Entity Type
Individual
Gender
Female
Address
520 Superior St, Port Huron, MI, 48220-1608
Phone Number
810-984-4202
Fax Number
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
520 Superior St
City
Port Huron
State
Michigan
Zip
48060-3838
Phone Number
810-984-4202
Fax Number
person
Provider Business Mailing Address Details
Address
520 Superior St
City
Port Huron
State
Michigan
Zip
48060-3838
Phone Number
810-984-4202
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6361007549 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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