Kelly, Timothy Patrick

Kelly, Timothy Patrick is an individual health care provider with primary practice located at 3900 Woodland Ave , Philadelphia PA 19104-4551. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Pastoral is his primary health care specialty. Kelly, Timothy Patrick can be contacted via phone (215) 823-5800.

Contact Information

Primary practice address
3900 Woodland Ave Philadelphia PA 19104-4551
Phone: (215) 823-5800
Fax: (215) 823-5919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X PC001954 Pennsylvania
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X PC001954 Pennsylvania
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PC001954 Pennsylvania
Behavioral Health & Social Service Providers / Pastoral 101YP1600X PC001954 Pennsylvania
Behavioral Health & Social Service Providers / Professional 101YP2500X PC001954 Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X 01360 Oklahoma

Profile Details

NPI number 1558467811
LBN Legal business name Kelly, Timothy Patrick
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Feb 28th, 2008 - about 18 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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