KELLY DAE KETTLEWELL PH.D. NPI 1285389544

NPI Information

  • NPI: 1285389544
  • Provider Name: KELLY DAE KETTLEWELL, PH.D.
  • Classification: Psychologist - 103TC1900X
  • Specialization: Counseling
  • Entity Type: Individual
  • Address: 49 E 4TH ST STE 205
    WILLIAMSPORT, PA
    ZIP 17701
  • Phone: (570) 601-4788

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NPI Details

Kelly Dae Kettlewell, PH.D. is a counseling psychologist in Williamsport, PA. The provider is a psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms. Kelly Dae Kettlewell, PH.D. NPI is 1285389544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

49 E 4TH ST STE 205
WILLIAMSPORT, PA
ZIP 17701-355
Phone: (570) 601-4788

The enumeration date for this NPI number is 2/15/2022 and was last updated on 2/8/2023.

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
1103TC1900XPsychologistCounselingPS017216PENNSYLVANIAYes

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: 11/21/2025

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