DR. SUSAN DOROTHEA KELLEY PH.D. NPI 1225163058

NPI Information

NPI: 1225163058
Provider Name: DR. SUSAN DOROTHEA KELLEY, PH.D.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5201 W KENNEDY BLVD
STE 615
TAMPA, FL
ZIP 33609
Phone: (813) 974-0971
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DR. Susan Dorothea Kelley, PH.D. is a mental health counselor in Tampa, FL. DR. Susan Dorothea Kelley, PH.D. NPI is 1225163058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5201 W KENNEDY BLVD
STE 615
TAMPA, FL
ZIP 33609-845
Phone: (813) 974-0971

The enumeration date for this NPI number is 2/22/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH1135	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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