Provider Demographics
NPI:1588991483
Name:KELCH-OLIVER, KARIA BRYN (PHD)
Entity type:Individual
Prefix:DR
First Name:KARIA
Middle Name:BRYN
Last Name:KELCH-OLIVER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:KARIA
Other - Middle Name:BRYN ROBESON
Other - Last Name:KELCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3495 PIEDMONT ROAD, NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:404-756-1402
Practice Address - Street 1:2525 CUMBERLAND PARKWAY
Practice Address - Street 2:KAISER PERMANENTE CUMBERLAND MEDICAL CENTER
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339
Practice Address - Country:US
Practice Address - Phone:770-431-4235
Practice Address - Fax:404-752-1191
Is Sole Proprietor?:No
Enumeration Date:2009-11-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT000991106H00000X
GAPSY003348103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist