Kelley, Cathleen M

Kelley, Cathleen M is an individual health care provider with primary practice located at 2 Colchester Ave , Burlington VT 05405-1764. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelley, Cathleen M can be contacted via phone (802) 656-2661.

Contact Information

Primary practice address
2 Colchester Ave Burlington VT 05405-1764
Phone: (802) 656-2661
Fax: (802) 656-3485
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0890000277 Vermont

Profile Details

NPI number 1366408098
LBN Legal business name Kelley, Cathleen M
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Apr 6th, 2017 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366408098 NPPES
Vermont Other 28173 BLUE CROSS BLUE SHIELD
Vermont MEDICAID 1007281 BLUE CROSS BLUE SHIELD
Vermont Other 2302377 BLUE CROSS BLUE SHIELD
Vermont Other 094775 BLUE CROSS BLUE SHIELD

Popular Providers