Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Ann Rodriguez, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1710380860

Kelly Ann Rodriguez, PHD is a Clinical Child & Adolescent Psychologist in Philadelphia, Pennsylvania. Licensed in Delaware and Pennsylvania. Registered with an NPI since 2014.

Licensed in
DE, PA
In the registry since
2014
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

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-7555
Fax: (215) 590-7387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence PS017685 (PA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence B1 0000998 (DE)

Record details

NPI number1710380860
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 3, 2014
Last updated in NPPESJuly 20, 2016

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