Dr Theresa Ann Kelly, PSYD - Psychologist in Marion, IL

Dr Theresa Ann Kelly, PSYD is a Psychologist - Clinical based in Marion, Illinois. Dr Theresa Ann Kelly is licensed to practice in Illinois (license number 071-006782) and her current practice location is 2401 W Main St, Marion, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 997-5311.

NPI number for Dr Theresa Ann Kelly is 1477663763 and her current mailing address is 100 North 43rd Street, Herrin, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477663763.

Contact Information

Dr Theresa Ann Kelly, PSYD
2401 W Main St,
Marion, IL 62959-1188
(618) 997-5311
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Theresa Ann Kelly
GenderFemale
SpecialityPsychologist - Clinical
Location2401 W Main St, Marion, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477663763
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Theresa Ann Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477663763NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 071-006782 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Theresa Ann Kelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Theresa Ann Kelly, PSYD
100 North 43rd Street,
Herrin, IL 62948

Ph: (618) 364-4415
Dr Theresa Ann Kelly, PSYD
2401 W Main St,
Marion, IL 62959-1188

Ph: (618) 997-5311

Reviews and Comments


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