Provider Demographics
NPI:1891990669
Name:POPE, KELLIE C (PHD)
Entity Type:Individual
Prefix:DR
First Name:KELLIE
Middle Name:C
Last Name:POPE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1742 DENALI CT
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-5103
Mailing Address - Country:US
Mailing Address - Phone:334-444-5582
Mailing Address - Fax:
Practice Address - Street 1:1742 DENALI CT
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36832-5103
Practice Address - Country:US
Practice Address - Phone:334-444-5582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling