Deiaco, Kelli J

Deiaco, Kelli J is an individual health care provider with primary practice located at 16287 Willow Creek Rd , Lewes DE 19958-3614. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Deiaco, Kelli J can be contacted via phone (302) 703-6332.

Contact Information

Primary practice address
16287 Willow Creek Rd Lewes DE 19958-3614
Phone: (302) 703-6332
Fax: (302) 827-4856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC004790 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS018210 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X B1-0011334 Delaware

Profile Details

NPI number 1699945766
LBN Legal business name Deiaco, Kelli J
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2008
Last updated Aug 10th, 2022 - about 2 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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