O'Laughlin, Kelly Cristen
O'Laughlin, Kelly Cristen is an individual health care provider with primary practice located at 4515 Premier Dr Ste 402A , High Point NC 27265-8356. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. O'Laughlin, Kelly Cristen can be contacted via phone (336) 702-1255.Contact Information
Primary practice address
4515 Premier Dr Ste 402A
High Point NC 27265-8356
Phone: (336) 702-1255
Fax: (336) 802-2201
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4074 | North Carolina |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
NPI number | 1669774618 |
---|---|
LBN Legal business name | O'Laughlin, Kelly Cristen |
Credentials | MT-BC, PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 24th, 2010 |
Last updated | Oct 13th, 2022 - about 3 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 | 1669774618 | NPPES |
North Carolina | MEDICAID | 6001256 |
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