Kelly Broadwater Pickell is a Wilmington, North Carolina based psychologist who is specialized in General Psychology. Active license number of Kelly Broadwater Pickell is 2481 for General Psychology in North Carolina. Her current practice location is 3240 Burnt Mill Dr, Suite 1, Wilmington. Patients can reach her at 910-790-9500 or can fax her at 910-796-8111. Kelly Broadwater Pickell is MA, LPA, LPC, CEDS in General Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1881786945. Kelly Broadwater Pickell is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, she performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. She can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Kelly Broadwater Pickell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kelly Broadwater Pickell
Specialization:
General Psychology
Gender:
Female
Credentials:
MA, LPA, LPC, CEDS
Practice Address:
3240 Burnt Mill Dr, Suite 1, Wilmington, North Carolina, 28403-2576
Phone:
910-790-9500
Fax:
910-796-8111
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1881786945
NPI Enumeration Date:
28 Sep, 2006
NPI Last Update On:
28 Jul, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Broadwater Pickell are as mentioned below.
License Number
Specialization
State
Status
2481
General Psychology
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly Broadwater Pickell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
046XA
Other
North Carolina
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kelly Broadwater Pickell 3240 Burnt Mill Dr, Suite 1 Wilmington, North Carolina
Zip:
28403-2576
Phone Number:
910-790-9500
Fax Number:
910-796-8111
Patients can reach Kelly Broadwater Pickell at 3240 Burnt Mill Dr, Suite 1, Wilmington, North Carolina or can call to book an appointment on 910-790-9500.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.