Lawrence John Kelty in Long Island City - Clinical
Lawrence John Kelty - NPI 1821004276
Lawrence John Kelty is a Clinical in Long Island City, New York. Lawrence John Kelty practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lawrence John Kelty is 1821004276. The last update date is 2007-07-08.
Lawrence John Kelty's current location address is 5101 39th Ave Apt Q21, Long Island City, New York. You can contact this provider via phone number 7186727877. The mailing address for Lawrence John Kelty is 5101 39th Ave Apt Q21, Long Island City, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence John Kelty |
|---|---|
| Address | 5101 39th Ave Apt Q21, Long Island City, New York |
| Phone Number | 7186727877 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1821004276 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5101 39th Ave Apt Q21 |
|---|---|
| City | Long Island City |
| State | New York (NY) |
| Post Code | 111041154 |
| Phone Number | 7186727877 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 007007-1 |
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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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What is the unique provider identifier assigned to Lawrence John Kelty?
The Lawrence John Kelty has been issued the NPI (National Provider Identifier) 1821004276 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Lawrence John Kelty?
The Lawrence John Kelty is situated at 5101 39Th Ave Apt Q21, in the city of Long Island City, state of NY, with the zip code 111041154.
What is Lawrence John Kelty's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lawrence John Kelty is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821004276 to Lawrence John Kelty?
The Centers for Medicare & Medicaid Services assigned the 1821004276 to Lawrence John Kelty on 2006-07-31.
As of what date were the details pertaining to Lawrence John Kelty last refreshed?
The information related to the Lawrence John Kelty, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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