Lane, Kelly Beakley
Lane, Kelly Beakley is an sole proprietor health care provider with primary practice located at 111 N West St Ste H , Easton MD 21601-2760. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Lane, Kelly Beakley can be contacted via phone (410) 443-5527.Contact Information
Primary practice address
111 N West St Ste H
Easton MD 21601-2760
Phone: (410) 443-5527
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 05234 | Maryland |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 05234 | Maryland |
Profile Details
| NPI number | 1861745440 |
|---|---|
| LBN Legal business name | Lane, Kelly Beakley |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2012 |
| Last updated | Jul 21st, 2022 - about 4 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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