Individual provider · Type 1 NPI

Ida Kellison, PhD

Clinical Neuropsychologist · Boston, MA

NPI number 1346508140 Active

Practice location

150 S Huntington Ave, Va Boston Healthcare System, Psychology, 116B
Boston, MA 02130-4817

Call (857) 364-6204 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist Primary 103G00000X9512 (MA)
Clinical Psychologist 103TC0700X9512 (MA)

Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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About NPI 1346508140

Ida Kellison, PhD's National Provider Identifier is 1346508140, issued on Apr 30, 2012. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Boston, MA. The record was last updated on Apr 30, 2012.