Kelley, Ann Marie

Kelley, Ann Marie is an sole proprietor health care provider with primary practice located at 1001 West Ave , Austin TX 78701-2071. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kelley, Ann Marie can be contacted via phone (512) 784-7244.

Contact Information

Primary practice address
1001 West Ave Austin TX 78701-2071
Phone: (512) 784-7244
Fax: (512) 542-9027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 25629 Texas
Behavioral Health & Social Service Providers / Family 103TF0000X 25629 Texas
Behavioral Health & Social Service Providers / Forensic 103TF0200X 25629 Texas

Profile Details

NPI number 1568584977
LBN Legal business name Kelley, Ann Marie
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2007
Last updated Jul 8th, 2007 - about 17 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 1568584977 NPPES
Texas Other 0034MX BLUE CROSS BLUE SHEILD

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