Kelly, Mary Pat
Kelly, Mary Pat is an sole proprietor health care provider with primary practice located at 380 Glenneyre St Ste D , Laguna Beach CA 92651-2303. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelly, Mary Pat can be contacted via phone (949) 494-0093.Contact Information
Primary practice address
380 Glenneyre St Ste D
Laguna Beach CA 92651-2303
Phone: (949) 494-0093
Fax: (949) 497-0913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY12662 | California |
Profile Details
| NPI number | 1235348509 |
|---|---|
| LBN Legal business name | Kelly, Mary Pat |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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