Kelly, Samuel James

Kelly, Samuel James is an individual health care provider with primary practice located at 200 E Joppa Rd Suite 108, Towson MD 21286-3150. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kelly, Samuel James can be contacted via phone (410) 583-8846.

Contact Information

Primary practice address
200 E Joppa Rd Suite 108 Towson MD 21286-3150
Phone: (410) 583-8846
Fax: (410) 583-9297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 07874 Maryland

Profile Details

NPI number 1174523377
LBN Legal business name Kelly, Samuel James
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
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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