| Doctor Name: | MS. KELLEY DICKEY CUDDY |
| NPI Number: | 1013243914 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | 00224 |
| Business Practice Address: | 2101 Kimball Ave Waterloo, IA - 507025063 |
| Business Phone Number: | 3192722080 |
| Business Fax Number: | |
| Mailing Address: | 1229 Mount Loretta Ave, DUBUQUE |
| State: | IA |
| Postal Code: | 520037826 |
| Phone Number: | 5635880558 |
| Fax Number: | 5835573140 |
| NPI Enumeration Date: | 10/27/2009 |
| NPI Last Update Date: | 10/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 00224 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |