Barbara E Kelly Phd Llc in Maitland - Psychologist
Barbara E Kelly Phd Llc - NPI 1457415333
Barbara E Kelly Phd Llc is a Psychologist in Maitland, Florida. Barbara E Kelly Phd Llc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Barbara E Kelly Phd Llc is 1457415333. The last update date is 2012-07-10.
Barbara E Kelly Phd Llc's current location address is 100 E Ventris Ave, Maitland, Florida. You can contact this provider via phone number 4079518812 and fax number 4079518869. The mailing address for Barbara E Kelly Phd Llc is 100 E Ventris Ave, Maitland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Barbara E Kelly Phd Llc |
|---|---|
| Address | 100 E Ventris Ave, Maitland, Florida |
| Phone Number | 4079518812 |
| Fax Number | 4079518869 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Kelly E. Barbara |
| Credentials | PH.D. |
| Telephone Number | 4079518812 |
NPI Number Detail
| NPI Number | 1457415333 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2012-07-10 |
Provider Mailing Address Detail
| Address | 100 E Ventris Ave |
|---|---|
| City | Maitland |
| State | Florida (FL) |
| Post Code | 327515626 |
| Phone Number | 4079518812 |
| Fax Number | 4079518869 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY5762 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identification code assigned to Barbara E Kelly Phd Llc by the Centers for Medicare & Medicaid Services?
The Barbara E Kelly Phd Llc has been issued the NPI (National Provider Identifier) 1457415333. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Barbara E Kelly Phd Llc's facilities are geographically located?
The facilities of Barbara E Kelly Phd Llc are physically situated at the following location: 100 E Ventris Ave, Maitland, FL, 327515626.
What is Barbara E Kelly Phd Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Barbara E Kelly Phd Llc's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457415333 to Barbara E Kelly Phd Llc?
The Centers for Medicare & Medicaid Services assigned the 1457415333 to Barbara E Kelly Phd Llc on 2006-12-21.
When was the information pertaining to Barbara E Kelly Phd Llc most recently updated or revised?
The details related to Barbara E Kelly Phd Llc, including its address, specialty, and other relevant information, were last updated or revised on 2012-07-10.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH