Kelso, Theresa K
Kelso, Theresa K is an sole proprietor health care provider with primary practice located at 420 Boulevard Suite 208, Mountain Lakes NJ 07046-1742. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelso, Theresa K can be contacted via phone (973) 299-2888.Contact Information
Primary practice address
420 Boulevard Suite 208
Mountain Lakes NJ 07046-1742
Phone: (973) 299-2888
Fax: (973) 299-2876
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35S1002377 | New Jersey |
Profile Details
NPI number | 1083797682 |
---|---|
LBN Legal business name | Kelso, Theresa K |
Credentials | PSY.D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 24th, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083797682 | NPPES |
New Jersey | Other | 048786 | VALUEOPTIONS IDENTIFIER |
New Jersey | Other | 223688014 | VALUEOPTIONS IDENTIFIER |
New Jersey | Other | 4514820 | VALUEOPTIONS IDENTIFIER |
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