Brady, Kellyanne

Brady, Kellyanne is an sole proprietor health care provider with primary practice located at 425 2Nd Ave , Massapequa Park NY 11762-1500. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brady, Kellyanne can be contacted via phone (718) 406-3656.

Contact Information

Primary practice address
425 2Nd Ave Massapequa Park NY 11762-1500
Phone: (718) 406-3656
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 006630 New York

Profile Details

NPI number 1780158485
LBN Legal business name Brady, Kellyanne
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2019
Last updated Sep 29th, 2019 - 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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