Moran, Kelsey
Moran, Kelsey is an individual health care provider with primary practice located at 1 College Street Box D, Worcester MA 01610. 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. Moran, Kelsey can be contacted via phone (508) 793-3363.Contact Information
Primary practice address
1 College Street Box D
Worcester MA 01610
Phone: (508) 793-3363
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 10917 | Nebraska |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1745 | Rhode Island |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 11059 | Massachusetts |
Profile Details
| NPI number | 1417401951 |
|---|---|
| LBN Legal business name | Moran, Kelsey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2016 |
| Last updated | Jun 12th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417401951 | NPPES |
| Other | 1417401951 | NONBILLING |
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