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
Fax: (603) 625-0335
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457418451 NPPES
New Hampshire MEDICAID 80008144

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