Kelsey, Erica

Kelsey, Erica is an individual health care provider with primary practice located at 1111 W 10Th St , Indianapolis IN 46202-4800. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kelsey, Erica can be contacted via phone (601) 466-9459.

Contact Information

Primary practice address
1111 W 10Th St Indianapolis IN 46202-4800
Phone: (601) 466-9459
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20042596A Indiana
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 20042596A Indiana

Profile Details

NPI number 1255632279
LBN Legal business name Kelsey, Erica
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2010
Last updated Nov 6th, 2013 - about 12 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 1255632279 NPPES
Indiana Other 000000785009 ANTHEM
Indiana MEDICAID 201086680 ANTHEM

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