DR. KELLY LOWELL HERN PH.D.
Clinical Neuropsychologist
Milledgeville, Georgia
Provider NPI: 1720024607
Provider Information:DR. KELLY LOWELL HERN PH.D.
Gender: M
Practice Location:
102 DEEPSTEP RD NE MILLEDGEVILLE, GA 31061 US
Tel: 478-453-1146 Fax: 478-453-1146
Business Mailing Address:
102 DEEPSTEP RD NE MILLEDGEVILLE, GA 31061 US
Tel: 478-453-1146 Fax: 478-453-1146
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | IN | 20040782A |
X | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | KY | KY-0862 |
X | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | GA | PSY001660 |
X | 103T00000X | Behavioral Health & Social Service Providers Psychologist | IN | 20040782A |
X | 103T00000X | Behavioral Health & Social Service Providers Psychologist | KY | KY-0862 |
X | 103T00000X | Behavioral Health & Social Service Providers Psychologist | GA | PSY1660 |
X | 103TF0200X | Behavioral Health & Social Service Providers Psychologist | GA | PSY001660 |
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