Marianne P Kelley in St Paul - Psychologist

Marianne P Kelley - NPI 1144286758

Marianne P Kelley is a Psychologist in St Paul, Minnesota. Marianne P Kelley practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Marianne P Kelley is 1144286758. The last update date is 2007-07-08.

Marianne P Kelley's current location address is 821 Raymond Ave, St Paul, Minnesota. You can contact this provider via phone number 6516458300 and fax number 6516454603. The mailing address for Marianne P Kelley is 821 Raymond Ave, St Paul, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Marianne P Kelley
Address 821 Raymond Ave, St Paul, Minnesota
Phone Number 6516458300
Fax Number 6516454603
Sole Proprietor X
Credentials PSYD LP

NPI Number Detail

NPI Number 1144286758
Provider Enumeration Date 2006-04-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 821 Raymond Ave
City St Paul
State Minnesota (MN)
Post Code 551141509
Phone Number 6516458300
Fax Number 6516454603

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No LP3511
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1014479 MN PREFERRED ONE
06Q72KE MN BLUE CROSS
HP18714 MN HEALTH PARTNERS

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FAQs about Marianne P Kelley

What is the unique identifier code issued to Marianne P Kelley by the Centers for Medicare & Medicaid Services?

The Marianne P Kelley has been assigned the NPI (National Provider Identifier) 1144286758. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Marianne P Kelley is physically located?

The Marianne P Kelley is physically situated at the following address: 821 Raymond Ave, St Paul, MN, 551141509.

What is Marianne P Kelley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Marianne P Kelley is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.

On what date did Marianne P Kelley receive its 1144286758 assignment from the Centers for Medicare & Medicaid Services?

The Marianne P Kelley was assigned its 1144286758 on 2006-04-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Marianne P Kelley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Marianne P Kelley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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