Kelly, Mari F

Kelly, Mari F is an individual health care provider with primary practice located at 500 N Bridge St , Bridgewater NJ 08807-2135. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kelly, Mari F can be contacted via phone (908) 725-2800.

Contact Information

Primary practice address
500 N Bridge St Bridgewater NJ 08807-2135
Fax: (908) 704-1790
Website:

Health care specialties

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

Profile Details

NPI number 1346511771
LBN Legal business name Kelly, Mari F
Credentials MSC ATR
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2012
Last updated Jan 17th, 2012 - about 14 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 1346511771 NPPES
New Jersey Other 0023701 AGENCY MEDICAID PROVIDER #
New Jersey Other 527486 AGENCY MEDICAID PROVIDER #

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