Joelle Ann Kelly is a Clinical in Brewster, Massachusetts. Joelle Ann Kelly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joelle Ann Kelly is 1598801920. The last update date is 2007-07-08.
Joelle Ann Kelly's current location address is 23 Bay State Court, Brewster, Massachusetts. You can contact this provider via phone number 5084300589 and fax number 5084305207. The mailing address for Joelle Ann Kelly is 23 Bay State Court, Brewster, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joelle Ann Kelly |
|---|---|
| Address | 23 Bay State Court, Brewster, Massachusetts |
| Phone Number | 5084300589 |
| Fax Number | 5084305207 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1598801920 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 23 Bay State Court |
|---|---|
| City | Brewster |
| State | Massachusetts (MA) |
| Post Code | 26312120 |
| Phone Number | 5084300589 |
| Fax Number | 5084305207 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY4274 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 517879 | MA | -- | |
| 103041 | VALUE OPTIONS INC HMO NEW | ||
| 13445513 | MAGELLAN BEHAVIORAL HEALT | ||
| 7491474 | AETNA | ||
| 5530 | PACIFICARE OLD HPHC VALUE | ||
| W04483 | MA | BCBS MA | |
| KEW04483 | MA | BCBS INDEMNITY | |
| 460402 | TUFTS HEALTH CARE |
Post Comment/ Review Below
What is the Joelle Ann Kelly's 1598801920?
The Joelle Ann Kelly's NPI (National Provider Identifier) Number is 1598801920. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Joelle Ann Kelly is located?
The Joelle Ann Kelly is situated at the following address: 23 Bay State Court, Brewster, MA, 26312120.
What is Joelle Ann Kelly's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Joelle Ann Kelly's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1598801920 to Joelle Ann Kelly?
The Centers for Medicare & Medicaid Services assigned the 1598801920 to Joelle Ann Kelly on 2007-01-30.
As of what date were the details pertaining to Joelle Ann Kelly last refreshed?
The information related to the Joelle Ann Kelly, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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