| Doctor Name: | MRS. KELLY A PULVER |
| NPI Number: | 1184740185 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | |
| Business Practice Address: | 4202 Holbrook Rd Randallstown, MD - 211331113 |
| Business Phone Number: | 4104960530 |
| Business Fax Number: | |
| Mailing Address: | 800 S Bouldin St, BALTIMORE |
| State: | MD |
| Postal Code: | 212244023 |
| Phone Number: | 4104960530 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 02/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |