Dr Theresa K Kelso, PSYD - Psychologist in Mountain Lakes, NJ

Dr Theresa K Kelso, PSYD is a Psychologist - Clinical based in Mountain Lakes, New Jersey. Dr Theresa K Kelso is licensed to practice in New Jersey (license number 35S1002377) and her current practice location is 420 Boulevard, Suite 208, Mountain Lakes, New Jersey. She can be reached at her office (for appointments etc.) via phone at (973) 299-2888.

NPI number for Dr Theresa K Kelso is 1083797682 and her current mailing address is 420 Boulevard, Suite 208, Mountain Lakes, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083797682.

Contact Information

Dr Theresa K Kelso, PSYD
420 Boulevard, Suite 208,
Mountain Lakes, NJ 07046-1742
(973) 299-2888
(973) 299-2876

Map and Direction




Healthcare Provider's Profile

Full NameDr Theresa K Kelso
GenderFemale
SpecialityPsychologist - Clinical
Location420 Boulevard, Mountain Lakes, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083797682
  • Provider Enumeration Date: 10/24/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Theresa K Kelso such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083797682NPI-NPPES
048786OtherNJVALUEOPTIONS IDENTIFIER
223688014OtherNJFEDERAL TAX IDENTIFICATIO
4514820OtherNJAETNA BEH. HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 35S1002377 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Theresa K Kelso is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Theresa K Kelso, PSYD
420 Boulevard, Suite 208,
Mountain Lakes, NJ 07046-1742

Ph: (973) 299-2888
Dr Theresa K Kelso, PSYD
420 Boulevard, Suite 208,
Mountain Lakes, NJ 07046-1742

Ph: (973) 299-2888

Reviews and Comments


Psychologist in Mountain Lakes, NJ

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Phone: 973-333-1159    
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Medicare: Not Enrolled in Medicare
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Phone: 973-321-4380    

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