Gunderson, Kelly Riley

Gunderson, Kelly Riley is an sole proprietor health care provider with primary practice located at 1234 Broadway , Somerville MA 02144-1703. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gunderson, Kelly Riley can be contacted via phone (617) 855-3986.

Contact Information

Primary practice address
1234 Broadway Somerville MA 02144-1703
Phone: (617) 855-3986
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 8523 Massachusetts

Profile Details

NPI number 1376686337
LBN Legal business name Gunderson, Kelly Riley
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 19 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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