Dr. Laurence Merrill Kelly Jr., M.Ed., Psy.D.
Psychologist, Clinical Child & Adolescent in Lawrence, MA. Individual provider (NPI-1).
NPI number1750436457
StatusActive
Last updated in NPPESSep 28, 2011
Details
- NPI
- 1750436457
- Entity type
- Individual (NPI-1)
- Name
- Dr. Laurence Merrill Kelly Jr.
- Credential
- M.Ed., Psy.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2007
- Last updated
- Sep 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 9422 | MA | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YS0200X | Counselor, School | – | NH |
Practice location
11 Union StLawrence, MA 01840-1815
Phone 978-685-1337
Mailing address
81 Green StApt. 2
Reading, MA 01867-3210
Phone 603-714-4771
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