DR. MARK PAUL KELLY PHD NPI 1407958325

NPI Information

NPI: 1407958325
Provider Name: DR. MARK PAUL KELLY, PHD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
6900 GEORGIA AVE NW
WALTER REED ARMY MEDICAL CENTER
WASHINGTON, DC
ZIP 20307
Phone: (202) 782-0065
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DR. Mark Paul Kelly, PHD is a clinical neuropsychologist in Washington, DC. The provider is 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. DR. Mark Paul Kelly, PHD NPI is 1407958325. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6900 GEORGIA AVE NW
WALTER REED ARMY MEDICAL CENTER
WASHINGTON, DC
ZIP 20307-003
Phone: (202) 782-0065
Fax: (202) 782-7165

The enumeration date for this NPI number is 9/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		02200	MARYLAND	Yes
2	103TC0700X	Psychologist	Clinical	02200	MARYLAND	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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