Kelly, Teresa

Kelly, Teresa is an sole proprietor health care provider with primary practice located at 48 13Th St , Locust Valley NY 11560-1526. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelly, Teresa can be contacted via phone (516) 676-0705.

Contact Information

Primary practice address
48 13Th St Locust Valley NY 11560-1526
Phone: (516) 676-0705
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R0558451 New York

Profile Details

NPI number 1053522102
LBN Legal business name Kelly, Teresa
Credentials LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Feb 26th, 2021 - about 5 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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