Individual provider · Type 1 NPI

Tara Lee Kelly, PhD

Psychologist · Los Angeles, CA

NPI number 1336155290 Active

Practice location

12304 Santa Monica Blvd, Suite 106
Los Angeles, CA 90025-2551

Call (310) 559-3629 Map

Fax (310) 559-3620

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY 12349 (CA)

Psychologist: 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 adjustmen…

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About NPI 1336155290

Tara Lee Kelly, PhD's National Provider Identifier is 1336155290, issued on Jul 31, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.