Kelleher-Merend, Judith A

Kelleher-Merend, Judith A is an individual health care provider with primary practice located at 50 Dayton Ln Andrus Children'S Center Mental Health Division, Peekskill NY 10566-2860. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelleher-Merend, Judith A can be contacted via phone (914) 736-3371.

Contact Information

Primary practice address
50 Dayton Ln Andrus Children'S Center Mental Health Division Peekskill NY 10566-2860
Phone: (914) 736-3371
Fax: (914) 736-3372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 046374 New York

Profile Details

NPI number 1508818030
LBN Legal business name Kelleher-Merend, Judith A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Nov 30th, 2007 - about 18 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 1508818030 NPPES
New York Other 00355940 AGENCY MEDICAID #
New York Other 1285628552 AGENCY MEDICAID #
New York Other 046374 AGENCY MEDICAID #

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