Kelleher, Emily Jeanne

Kelleher, Emily Jeanne is an individual health care provider with primary practice located at 26 Valley Rd , Middletown RI 02842-6371. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kelleher, Emily Jeanne can be contacted via phone (401) 848-6363.

Contact Information

Primary practice address
26 Valley Rd Middletown RI 02842-6371
Phone: (401) 848-6363
Fax: (401) 848-6389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC00311 Rhode Island

Profile Details

NPI number 1871627950
LBN Legal business name Kelleher, Emily Jeanne
Credentials MA, LMHC, GCEA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Sep 5th, 2012 - about 12 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 1871627950 NPPES
Rhode Island MEDICAID EA64005

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