Suzanne Maxine Kelly in Coon Rapids - Marriage & Family Therapist
Suzanne Maxine Kelly - NPI 1801977863
Suzanne Maxine Kelly is a Marriage & Family Therapist in Coon Rapids, Minnesota. Suzanne Maxine Kelly practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Suzanne Maxine Kelly is 1801977863. The last update date is 2007-07-08.
Suzanne Maxine Kelly's current location address is 2520 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7635760728 and fax number 7635607453. The mailing address for Suzanne Maxine Kelly is 2520 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Suzanne Maxine Kelly |
|---|---|
| Address | 2520 Coon Rapids Blvd Nw, Coon Rapids, Minnesota |
| Phone Number | 7635760728 |
| Fax Number | 7635607453 |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1801977863 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2520 Coon Rapids Blvd Nw |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 554333908 |
| Phone Number | 7635760728 |
| Fax Number | 7635607453 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 1121 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identifier code issued to Suzanne Maxine Kelly by the Centers for Medicare & Medicaid Services?
The Suzanne Maxine Kelly has been assigned the NPI (National Provider Identifier) 1801977863. 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 Suzanne Maxine Kelly is physically located?
The Suzanne Maxine Kelly is physically situated at the following address: 2520 Coon Rapids Blvd Nw, Coon Rapids, MN, 554333908.
What is Suzanne Maxine Kelly's specialized field of practice, and what is the corresponding taxonomy classification code?
The Suzanne Maxine Kelly's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801977863 to Suzanne Maxine Kelly?
The Centers for Medicare & Medicaid Services originally issued the 1801977863 to Suzanne Maxine Kelly on 2006-10-18.
When was the information related to Suzanne Maxine Kelly most recently updated or refreshed?
The details pertaining to the Suzanne Maxine Kelly, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.