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
Fax: (973) 299-2876
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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