| NPI | 1780399725 |
|---|---|
| Former Legal Business Name | KELLAR PSYCHOLOGICAL SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW CRAIG KELLAR Founder/Psychologist 681-404-0129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-02-24 |