Theresa K Kelso (NPI# 1083797682, PAC ID# 3375586183) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1083797682 |
| PAC ID by PECOS | 3375586183 |
| Professional Enrollment ID | I20050602000839 |
| Full Name | Theresa K Kelso |
| Organization Legal Name | T. K. KELSO, PSY.D, LLC |
| Address |
420 Boulevard Suite 208 Mountain Lakes NJ 07046-1733 |
| Phone Number | 9732992888 |
| Gender | F |
| Credential | CP |
| Graduation Year | 1985 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 9335208214 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 420 Boulevard, Suite 208, Mountain Lakes, NJ 07046-1733 | 9732992888 | T. K. KELSO, PSY.D, LLC |
| 420 Boulevard, Mountain Lakes, NJ 07046-1733 | 9732992888 | T. K. KELSO, PSY.D, LLC |
| Organization Legal Name | T. K. KELSO, PSY.D, LLC |
| Physicians | 1 |
| Street Address |
420 BOULEVARD SUITE 208 |
| City | MOUNTAIN LAKES |
| State | NJ |
| Zip | 07046-1733 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joanne Vannest | Psychologist, Clinical | 420 Boulevard, Suite 109, Mountain Lakes, NJ 07046-1733 | |
| Barbara Ferguson | Certified Clinical Nurse Specialist (cns) | 420 Boulevard, Suite 208, Mountain Lakes, NJ 07046-1733 | |
| Randolph S Shipon | Psychologist, Clinical | 420 Boulevard, Suite 101, Mountain Lakes, NJ 07046-1733 | |
| Irit V Felsen | Psychologist, Clinical | 420 Boulevard, Suite 203, Mountain Lakes, NJ 07046-1733 | |
| Richard Petruce | Clinical Social Worker | Caring Choices The Nursing Home Placement Service, Inc. | 420 Boulevard, Mountain Lakes, NJ 07046-1733 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Wang | Interventional Cardiology | Practice Associates Medical Group | 356 Routh 46, Mountain Lks, NJ 07046 |
| Jordan G Safirstein | Interventional Cardiology | Practice Associates Medical Group | 356 Routh 46, Mountain Lks, NJ 07046 |
| Heidi V O Donnell | Clinical Social Worker | 8 Woodland Ave, Mountain Lakes, NJ 07046-1421 | |
| Jeanette Q Mayer | Physical Therapy | 27 Ronarm Dr, Mountain Lakes, NJ 07046-1422 | |
| Anneta V Golubchik | Internal Medicine | 20 Overlook Rd, Mountain Lakes, NJ 07046-1509 | |
| Jamie L Desena | Physical Therapy | Sportscare of America, PC | 50 Us Hwy 46, Mountain Lakes, NJ 07046-1623 |
| Allison Avogardo | Physical Therapy | Sportscare of America, PC | 50 Us Hwy 46, Mountain Lakes, NJ 07046-1623 |
| Gianna M Vitolo | Physical Therapy | Sportscare of America, PC | 50 Us Hwy 46, Mountain Lakes, NJ 07046-1623 |
| Aung Min | Physical Therapy | Sportscare of America, PC | 50 Us Hwy 46, Mountain Lakes, NJ 07046-1623 |
| Nathan Wong | Physical Therapy | Sportscare of America, PC | 50 Us Hwy 46, Mountain Lakes, NJ 07046-1623 |
| Find all physicians in zip 07046 | |||
| City | MOUNTAIN LAKES |
| Zip Code | 07046 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | MOUNTAIN LAKES + CLINICAL PSYCHOLOGIST |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.