Mateljan, Kelly Marie

Mateljan, Kelly Marie is an individual health care provider with primary practice located at 131 Market St , Johnstown PA 15901-1628. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mateljan, Kelly Marie can be contacted via phone (814) 534-0745.

Contact Information

Primary practice address
131 Market St Johnstown PA 15901-1628
Phone: (814) 534-0745
Fax: (814) 536-5431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW015170 Pennsylvania

Profile Details

NPI number 1215902762
LBN Legal business name Mateljan, Kelly Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215902762 NPPES
Other 1215902762 NPIN
Other MA 1446205 NPIN

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