Individual provider · Type 1 NPI

Kelly D. Distelrath, LLP

Clinical Psychologist · Port Huron, MI

NPI number 1598976375 Active

Practice location

520 Superior St
Port Huron, MI 48060-3838

Call (810) 984-4202 Map

Mailing address

1340 Pinecrest Dr
Ferndale, MI 48220-1608

Other practice locations

  • 12220 E 13 Mile Rd, Suite 300, Warren, MI 48093-5000 · (586) 258-0206

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Psychologist Primary 103TC0700X6361007549 (MI)

Clinical Psychologist: 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 discip…

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About NPI 1598976375

Kelly D. Distelrath, LLP's National Provider Identifier is 1598976375, issued on May 24, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Port Huron, MI. The record was last updated on Mar 3, 2021.