Tom G Kelly is a Psychologist in Centreville, Michigan. Tom G Kelly practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Tom G Kelly is 1922094697. The last update date is 2009-07-17.
Tom G Kelly's current location address is 677a East Main, Centreville, Michigan. You can contact this provider via phone number 2694671000 and fax number 2694673075. The mailing address for Tom G Kelly is 677a East Main, Centreville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tom G Kelly |
|---|---|
| Address | 677a East Main, Centreville, Michigan |
| Phone Number | 2694671000 |
| Fax Number | 2694673075 |
| Sole Proprietor | N |
| Credentials | PSYCHOLOGI |
NPI Number Detail
| NPI Number | 1922094697 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2009-07-17 |
Provider Mailing Address Detail
| Address | 677a East Main |
|---|---|
| City | Centreville |
| State | Michigan (MI) |
| Post Code | 49032 |
| Phone Number | 2694671000 |
| Fax Number | 2694673075 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6301009464 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1708146 | MI | -- | |
| P10G510150 | MI | BC/BS |
Post Comment/ Review Below
What is the unique identifier code issued to Tom G Kelly by the Centers for Medicare & Medicaid Services (CMS)?
The Tom G Kelly has been assigned the NPI (National Provider Identifier) 1922094697. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Tom G Kelly is geographically located?
The Tom G Kelly is physically situated at the following location: 677A East Main, Centreville, MI, 49032.
What is the Tom G Kelly's specialty and taxonomy code?
The Tom G Kelly's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
When did the Tom G Kelly receive its 1922094697?
The Tom G Kelly was issued its 1922094697 on 2005-09-27, which is the date when the organization was assigned this unique identifier.
When was the information regarding Tom G Kelly most recently updated?
The details pertaining to the Tom G Kelly, including its address, specialty, and other relevant information, were last refreshed on 2009-07-17.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH