Powell, Kelly Kristin

Powell, Kelly Kristin is an sole proprietor health care provider with primary practice located at 230 S Frontage Rd , New Haven CT 06519-1124. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Powell, Kelly Kristin can be contacted via phone (203) 737-6394.

Contact Information

Primary practice address
230 S Frontage Rd New Haven CT 06519-1124
Phone: (203) 737-6394
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1275807851
LBN Legal business name Powell, Kelly Kristin
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 29th, 2012
Last updated Feb 29th, 2012 - about 14 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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