Kelly, Tara
Kelly, Tara is an individual health care provider with primary practice located at 95 West Street , Walpole MA 02081. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Kelly, Tara can be contacted via phone (508) 660-1570.Contact Information
Primary practice address
95 West Street
Walpole MA 02081
Phone: (508) 660-1570
Fax: (500) 660-3122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 5541 | Massachusetts |
Profile Details
| NPI number | 1437103207 |
|---|---|
| LBN Legal business name | Kelly, Tara |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 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 | 1437103207 | NPPES |
| Other | 5541 | LICENSE |
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