KELLY LOWELL HERN

MILLEDGEVILLE, GA
NPI1720024607
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103G00000X Clinical Neuropsychologist
(Licence: GA  PSY001660)
Additional Taxonomies103G00000X Clinical Neuropsychologist
(Licence: KY  KY-0862)
103G00000X Clinical Neuropsychologist
(Licence: IN  20040782A)
103T00000X Psychologist
(Licence: GA  PSY1660)
103T00000X Psychologist
(Licence: KY  KY-0862)
103T00000X Psychologist
(Licence: IN  20040782A)
103TF0200X Psychologist, Forensic
(Licence: GA  PSY001660)
Enumeration Date2006-06-21
Last Update Date2007-07-08
Business Address
Dr. KELLY LOWELL HERN Ph.D.
102 DEEPSTEP RD NE
MILLEDGEVILLE, GA 31061-9511
Phone number: 478-453-1146
Mailing Address
Dr. KELLY LOWELL HERN Ph.D.
102 DEEPSTEP RD NE
MILLEDGEVILLE, GA 31061-9511
Phone number: 478-453-1146