Mark, Kelly

Mark, Kelly is an individual health care provider with primary practice located at 330 112Th Ave Ne Ste 302 , Bellevue WA 98004. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Mark, Kelly can be contacted via phone (206) 853-2409.

Contact Information

Primary practice address

330 112Th Ave Ne Ste 302 Bellevue WA 98004

Phone: (206) 853-2409

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Mental Health	101YM0800X
Behavioral Health & Social Service Providers / Psychologist	103T00000X	PY60781335	Washington

Profile Details

NPI number	1043561285
LBN Legal business name	Mark, Kelly
Credentials	PSYD
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Sep 27th, 2012
Last updated	May 24th, 2018 - about 8 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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