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NPI Code Detail

MEDICARE: DR. KELSEY ELLIOTT PSYD

MEDICARE: DR. KELSEY ELLIOTT PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TM1800XIntellectual & Developmental Disabilities PsychologistPS020761PA

General Provider Information

NPI Number : 1841121977
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KELSEY ELLIOTT PSYD
Provider Business Mailing Address
First Line : 5250 CASTE DR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15236-1502
Country : US
Telephone Number : 412-347-3189
Fax Number :
Provider Business Practice Location Address
First Line : 5250 CASTE DR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15236-1502
Country : US
Telephone Number : 412-347-3189
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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