Sean F. Kelly in Beverly - Clinical

Sean F. Kelly - NPI 1215081526

Sean F. Kelly is a Clinical in Beverly, Massachusetts. Sean F. Kelly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sean F. Kelly is 1215081526. The last update date is 2016-05-27.

Sean F. Kelly's current location address is 10 Woodland Rd, Beverly, Massachusetts. You can contact this provider via phone number 6177927479. The mailing address for Sean F. Kelly is 10 Woodland Rd, Beverly, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Sean F. Kelly
Address 10 Woodland Rd, Beverly, Massachusetts
Phone Number 6177927479
Fax Number
Sole Proprietor Y
Credentials PH.D

NPI Number Detail

NPI Number 1215081526
Provider Enumeration Date 2007-01-23
Last Updated Date 2016-05-27

Provider Mailing Address Detail

Address 10 Woodland Rd
City Beverly
State Massachusetts (MA)
Post Code 19152747
Phone Number 6177927479
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 1698
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
504513 MA --
W01759 MA BLUE SHIELD PROVIDER ID
W0175925793 MA TRICARE

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FAQs about Sean F. Kelly

What is the unique 10-digit identification code issued to Sean F. Kelly by the Centers for Medicare & Medicaid Services?

The Sean F. Kelly has been assigned the NPI (National Provider Identifier) 1215081526 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Sean F. Kelly is geographically located?

The Sean F. Kelly is physically situated at the following location: 10 Woodland Rd, Beverly, MA, 19152747.

What is Sean F. Kelly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Sean F. Kelly is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.

On what date did the Sean F. Kelly receive the assignment of its 1215081526 from the Centers for Medicare & Medicaid Services?

The Sean F. Kelly was issued its 1215081526 by the Centers for Medicare & Medicaid Services on 2007-01-23.

As of what date were the details related to Sean F. Kelly most recently updated or revised?

The information pertaining to Sean F. Kelly, including its address, specialty, and other relevant details, was last updated or revised on 2016-05-27.

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