Rodriguez, Kelly Ann

Rodriguez, Kelly Ann is an individual health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104-4319. 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. Rodriguez, Kelly Ann can be contacted via phone (215) 590-7555.

Contact Information

Primary practice address
3401 Civic Center Blvd Philadelphia PA 19104-4319
Phone: (215) 590-7555
Fax: (215) 590-7387
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X B1 0000998 Delaware
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS017685 Pennsylvania

Profile Details

NPI number 1710380860
LBN Legal business name Rodriguez, Kelly Ann
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2014
Last updated Jul 20th, 2016 - about 10 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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