Kelly, Laurence Merrill
Kelly, Laurence Merrill is an sole proprietor health care provider with primary practice located at 30 Canton St Suite 13, Manchester NH 03103-3524. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Kelly, Laurence Merrill can be contacted via phone (603) 625-1670.Contact Information
Primary practice address
30 Canton St Suite 13
Manchester NH 03103-3524
Phone: (603) 625-1670
Fax: (603) 625-0335
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | NH-659 | New Hampshire |
Profile Details
NPI number | 1457418451 |
---|---|
LBN Legal business name | Kelly, Laurence Merrill |
Credentials | ED.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 2nd, 2007 |
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 | 1457418451 | NPPES |
New Hampshire | MEDICAID | 80008144 |
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