Kelley, Gary Bernard

Kelley, Gary Bernard is an sole proprietor health care provider with primary practice located at 6605 Limberlost Ct , Solon OH 44139-3100. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Kelley, Gary Bernard can be contacted via phone (449) 349-5445.

Contact Information

Primary practice address
6605 Limberlost Ct Solon OH 44139-3100
Phone: (449) 349-5445
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2187 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 2187 Ohio
Behavioral Health & Social Service Providers / School 103TS0200X 2187 Ohio
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2187 Ohio

Profile Details

NPI number 1013028653
LBN Legal business name Kelley, Gary Bernard
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Oct 25th, 2021 - about 4 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 1013028653 NPPES
Ohio MEDICAID 0320996

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