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Kelly Broadwater Pickell, MA,LPA,LPC,CEDS
Psychologist in Wilmington, North Carolina
NPI 1881786945

Kelly Broadwater Pickell is a Psychologist based in Wilmington, NC. Kelly Broadwater Pickell practices in Wilmington, NC and has the professional credentials of MA,LPA,LPC,CEDS. The NPI Number for Kelly Broadwater Pickell is 1881786945 and holds a License No. 2481 (North Carolina).

The current practice location address for Kelly Broadwater Pickell is 3240 Burnt Mill Dr, Wilmington, NC and can be reached out via phone at 910-790-9500 and via fax at 910-796-8111.

Location: 3240 Burnt Mill Dr, Wilmington, NC, 28403-2576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881786945
Provider Name
Kelly Broadwater Pickell
Credential
MA,LPA,LPC,CEDS
Provider Entity Type
Individual
Gender
Female
Address
3240 Burnt Mill Dr, Wilmington, NC, 28403-2576
Phone Number
910-790-9500
Fax Number
910-796-8111
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
046XA 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
3240 Burnt Mill Dr
City
Wilmington
State
North Carolina
Zip
28403-2576
Phone Number
910-790-9500
Fax Number
910-796-8111
person
Provider Business Mailing Address Details
Address
3240 Burnt Mill Dr
City
Wilmington
State
North Carolina
Zip
28403-2576
Phone Number
910-790-9500
Fax Number
910-796-8111
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
2481 (North Carolina)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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