Healthcare Provider Details

I. General information

NPI: 1174460018
Provider Name (Legal Business Name): AMBERLYN CELESTE KELLEHER PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8815 HAWKINS LN
CHEVY CHASE MD
20815-6730
US

IV. Provider business mailing address

8815 HAWKINS LN
CHEVY CHASE MD
20815-6730
US

V. Phone/Fax

Practice location:
  • Phone: 301-750-3319
  • Fax:
Mailing address:
  • Phone: 301-750-3319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number05289
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: