Provider Demographics
NPI:1649141748
Name:KELLEY, CLAIRE P (PSYD)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:P
Last Name:KELLEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1248 CARMIA WAY # 1081
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4750
Mailing Address - Country:US
Mailing Address - Phone:804-432-5036
Mailing Address - Fax:
Practice Address - Street 1:1248 CARMIA WAY # 1081
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-4750
Practice Address - Country:US
Practice Address - Phone:804-432-5036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-13
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810008699103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical