Montella-Jelley, Susan Marie
Montella-Jelley, Susan Marie is an sole proprietor health care provider with primary practice located at 101 Higginson Ave Ste 107D , Lincoln RI 02865-2734. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Montella-Jelley, Susan Marie can be contacted via phone (508) 369-8904.Contact Information
Primary practice address
101 Higginson Ave Ste 107D
Lincoln RI 02865-2734
Phone: (508) 369-8904
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW00726 | Rhode Island |
Profile Details
NPI number | 1104906395 |
---|---|
LBN Legal business name | Montella-Jelley, Susan Marie |
Credentials | L.I.C.S.W. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 16th, 2006 |
Last updated | Sep 18th, 2009 - about 16 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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