Kelly, Theresa Ann
Kelly, Theresa Ann is an sole proprietor health care provider with primary practice located at 2401 W Main St , Marion IL 62959-1188. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelly, Theresa Ann can be contacted via phone (618) 997-5311.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071-006782 | Illinois |
Profile Details
| NPI number | 1477663763 |
|---|---|
| LBN Legal business name | Kelly, Theresa Ann |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 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.
Popular Providers
-
Ciula, Bryan A
850 N Harrison St Attn: Anne Lawson, Warsaw IN 46580-3163 -
Tunnell, Gilbert B
222 W 14Th St Apt 10C, New York NY 10011-7209 -
Holly, Daniel Thomas
2401 W Main St , Marion IL 62959-1188 -
Leavitt, Barry M
4801 W Peterson Ave Ste 525, Chicago IL 60646 -
Staubsinger, Arlene Beth
8100 Oswego Rd Ste 235, Liverpool NY 13090-1660 -
Hunter, Richard H.
10202 Briggs Rd , Marion IL 62959-5844 -
Okon, Deborah Mcneil
315 W Reinken Ave Ste C, Belen NM 87002-4257 -
Sigler, Todd Michael
1935 County Road B2 W Ste 270 , Roseville MN 55113-2785