Dardeen, Kelly Renee

Dardeen, Kelly Renee is an individual health care provider with primary practice located at 1241 Cumberland Ave , West Lafayette IN 47906-1304. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Dardeen, Kelly Renee can be contacted via phone (812) 629-4999.

Contact Information

Primary practice address
1241 Cumberland Ave West Lafayette IN 47906-1304
Phone: (812) 629-4999
Fax: (765) 607-1483
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20042319A Indiana

Profile Details

NPI number 1235382128
LBN Legal business name Dardeen, Kelly Renee
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2008
Last updated Dec 1st, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235382128 NPPES
Indiana Other 000001056306 ANTHEM PROVIDER NUMBER

Popular Providers