Asburry, Kelley Lynn

Asburry, Kelley Lynn is an individual health care provider with primary practice located at 2120 S Mcclintock Dr Suite 105, Tempe AZ 85282-2692. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Asburry, Kelley Lynn can be contacted via phone (480) 804-0326.

Contact Information

Primary practice address
2120 S Mcclintock Dr Suite 105 Tempe AZ 85282-2692
Phone: (480) 804-0326
Fax: (480) 804-0083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 17480 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-15386 Arizona

Profile Details

NPI number 1902180813
LBN Legal business name Asburry, Kelley Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2011
Last updated Apr 23rd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902180813 NPPES
Maryland MEDICAID 589561802
Maryland MEDICAID 978700

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