Organization
KELLY COUNSELING & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA M KELLY PH. D. (PRESIDENT)
(610) 358-2250
Entity
Organization
Contact information
Practice address
305 VALLEYBROOK RD, CHESTER HEIGHTS, PA 19017-0534
(610) 358-2250
(610) 358-2251
Mailing address
305 VALLEYBROOK RD, CHESTER HEIGHTS, PA 19017-0534
(610) 358-2250
(610) 358-2251
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC003436
PA
103TC0700X
Clinical Psychologist
PS002719L
PA
103TC0700X
Clinical Psychologist
Primary
PS005647L
PA
103TC0700X
Clinical Psychologist
PS016001
PA
103TC0700X
Clinical Psychologist
PS016117
PA
1041C0700X
Clinical Social Worker
CW014825
PA
106H00000X
Marriage & Family Therapist
MF000518
PA
106H00000X
Marriage & Family Therapist
MF000573
PA
2084P0800X
Psychiatry Physician
MD065625L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KE1696759
BLUE CROSS & BLUE SHIELD
PA
Enumeration date
04/07/2006
Last updated
06/15/2010
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