Myers, Kelly Jean

Myers, Kelly Jean is an sole proprietor health care provider with primary practice located at 30400 Telegraph Rd Ste 331, Bingham Farms MI 48025-4573. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Myers, Kelly Jean can be contacted via phone (248) 645-5960.

Contact Information

Primary practice address
30400 Telegraph Rd Ste 331 Bingham Farms MI 48025-4573
Phone: (248) 645-5960
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301013649 Michigan

Profile Details

NPI number 1750560231
LBN Legal business name Myers, Kelly Jean
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2007
Last updated Nov 15th, 2017 - about 7 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 1750560231 NPPES
Other 680F389730 BCBS

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