Mercorella, Kelly Ann
Mercorella, Kelly Ann is an sole proprietor health care provider with primary practice located at 554 Bloomfield Ave Ste 401 , Bloomfield NJ 07003-3307. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Mercorella, Kelly Ann can be contacted via phone (973) 771-3300.Contact Information
Primary practice address
554 Bloomfield Ave Ste 401
Bloomfield NJ 07003-3307
Phone: (973) 771-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1032684161 | New York |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-16-24778 | New York |
Profile Details
| NPI number | 1447771092 |
|---|---|
| LBN Legal business name | Mercorella, Kelly Ann |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2017 |
| 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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