Theresa Kellam, PSYCHOLOGIST

NPI 1841271772 · on the registry since 2005 · sole proprietor

Practice

Address: 2201 Dottie Lynn Parkway
Suite 127
Fort Worth, TX 76120
Phone: (817) 313-7899
Fax: (817) 303-7278
Organisation at this address: Luma Psychology Pllc
Theresa Kellam, Ph.D.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 103T00000X
103T00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas