Kelly, Jennifer
Kelly, Jennifer is an individual health care provider with primary practice located at 479 Jumpers Hole Rd Suite 106, Severna Park MD 21146-1600. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kelly, Jennifer can be contacted via phone (410) 647-8840.Contact Information
Primary practice address
479 Jumpers Hole Rd Suite 106
Severna Park MD 21146-1600
Phone: (410) 647-8840
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 05600 | Maryland |
Profile Details
| NPI number | 1861889826 |
|---|---|
| LBN Legal business name | Kelly, Jennifer |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2015 |
| Last updated | Oct 15th, 2020 - about 5 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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