Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ida Kellison, PHD

Individual provider Clinical Neuropsychologist · NPI 1346508140

Dr. Ida Kellison, PHD is a Clinical Neuropsychologist in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

150 S Huntington Ave VA Boston Healthcare System Psychology 116B
Boston, MA 02130-4817
Phone: (857) 364-6204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 9512 (MA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 9512 (MA)

Record details

NPI number1346508140
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 30, 2012
Last updated in NPPESApril 30, 2012

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