Petrino, Kelly

Petrino, Kelly is an individual health care provider with primary practice located at 3350 W Americana Ter Ste 210 , Boise ID 83706-2546. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Petrino, Kelly can be contacted via phone (406) 880-5568.

Contact Information

Primary practice address
3350 W Americana Ter Ste 210 Boise ID 83706-2546
Phone: (406) 880-5568
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 18071 Montana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 505 Wyoming
Behavioral Health & Social Service Providers / Clinical 103TC0700X 203518 Idaho

Profile Details

NPI number 1861784068
LBN Legal business name Petrino, Kelly
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2011
Last updated May 11th, 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.

Request for update

Popular Providers