Kelley, Marianne P
Kelley, Marianne P is an individual health care provider with primary practice located at 821 Raymond Ave #200, St Paul MN 55114-1509. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kelley, Marianne P can be contacted via phone (651) 645-8300.Contact Information
Primary practice address
821 Raymond Ave #200
St Paul MN 55114-1509
Phone: (651) 645-8300
Fax: (651) 645-4603
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP3511 | Minnesota |
Profile Details
NPI number | 1144286758 |
---|---|
LBN Legal business name | Kelley, Marianne P |
Credentials | PSYD LP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 22nd, 2006 |
Last updated | Jul 8th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144286758 | NPPES |
Minnesota | Other | 01014479 | PREFERRED ONE |
Minnesota | Other | 06Q72KE | PREFERRED ONE |
Minnesota | Other | HP18714 | PREFERRED ONE |
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