Weber, Kelly Tahaney
Weber, Kelly Tahaney is an individual health care provider with primary practice located at 300 Hebron Avenue Suite 217 Medical Arts Center Counseling Affiliates, Glastonbury CT 06033. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Weber, Kelly Tahaney can be contacted via phone (860) 659-2697.Contact Information
Primary practice address
300 Hebron Avenue Suite 217 Medical Arts Center Counseling Affiliates
Glastonbury CT 06033
Phone: (860) 659-2697
Fax: (860) 659-3468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 002358 | Connecticut |
Profile Details
| NPI number | 1285705509 |
|---|---|
| LBN Legal business name | Weber, Kelly Tahaney |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1285705509 | NPPES |
| Other | 11518434 | CAQH |
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