| Doctor Name: | JULIE MCELRATH KELLETT |
| NPI Number: | 1003205253 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 1342 |
| Business Practice Address: | 200 Patewood Dr Suite A200 Greenville, SC - 296153593 |
| Business Phone Number: | 8644545115 |
| Business Fax Number: | |
| Mailing Address: | 1 Independence Pt, Suite 212 GREENVILLE |
| State: | SC |
| Postal Code: | 296154545 |
| Phone Number: | 8647976044 |
| Fax Number: | 8647976198 |
| NPI Enumeration Date: | 01/12/2015 |
| NPI Last Update Date: | 01/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1342 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |