Matt, Grace Kelly

Matt, Grace Kelly is an individual health care provider with primary practice located at 19251 Mack Ave Ste M450 , Grosse Pointe Woods MI 48236-2893. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Technician/Technologist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Matt, Grace Kelly can be contacted via phone (313) 343-1370.

Contact Information

Primary practice address
19251 Mack Ave Ste M450 Grosse Pointe Woods MI 48236-2893
Phone: (313) 343-1370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1457077240
LBN Legal business name Matt, Grace Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2022
Last updated Nov 7th, 2023 - about 2 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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