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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750560231 | NPPES |
| Other | 680F389730 | BCBS |
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