Kelly L Newby in Rochester - Clinical

Kelly L Newby - NPI 1144494485

Kelly L Newby is a Clinical in Rochester, New York. Kelly L Newby practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly L Newby is 1144494485. The last update date is 2019-10-18.

Kelly L Newby's current location address is 2450 W Ridge Rd Ste 303, Rochester, New York. You can contact this provider via phone number 5854480936 and fax number 5854480973. The mailing address for Kelly L Newby is 2450 W Ridge Rd Ste 303, Rochester, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly L Newby
Address 2450 W Ridge Rd Ste 303, Rochester, New York
Phone Number 5854480936
Fax Number 5854480973
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1144494485
Provider Enumeration Date 2008-04-17
Last Updated Date 2019-10-18

Provider Mailing Address Detail

Address 2450 W Ridge Rd Ste 303
City Rochester
State New York (NY)
Post Code 146263037
Phone Number 5854480936
Fax Number 5854480973

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 21789
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
357502 NY --

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FAQs about Kelly L Newby

What is the Kelly L Newby's unique identification number?

The Kelly L Newby has been assigned the NPI (National Provider Identifier) Number 1144494485 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Kelly L Newby is physically located?

The Kelly L Newby is situated at the following address: 2450 W Ridge Rd Ste 303, Rochester, NY 146263037.

What is Kelly L Newby's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kelly L Newby's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

On what date did the Kelly L Newby receive the assignment of its 1144494485 from the Centers for Medicare & Medicaid Services?

The Kelly L Newby was issued its 1144494485 by the Centers for Medicare & Medicaid Services on 2008-04-17.

As of what date were the details pertaining to Kelly L Newby last refreshed?

The information related to the Kelly L Newby, including its address, specialty, and other relevant details, was last updated on 2019-10-18.

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