Kelley, Marianne P

Kelley, Marianne P is an individual health care provider with primary practice located at 821 Raymond Ave #200, St Paul MN 55114-1509. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kelley, Marianne P can be contacted via phone (651) 645-8300.

Contact Information

Primary practice address
821 Raymond Ave #200 St Paul MN 55114-1509
Phone: (651) 645-8300
Fax: (651) 645-4603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3511 Minnesota

Profile Details

NPI number 1144286758
LBN Legal business name Kelley, Marianne P
Credentials PSYD LP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144286758 NPPES
Minnesota Other 01014479 PREFERRED ONE
Minnesota Other 06Q72KE PREFERRED ONE
Minnesota Other HP18714 PREFERRED ONE

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