| Adrienne J. Kelly, Llc | |
|
629 Standish Rd Teaneck NJ 07666-1817 | |
| (201) 692-1180 | |
| (201) 692-1190 |
| Full Name | Adrienne J. Kelly, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 629 Standish Rd, Teaneck, New Jersey |
| Authorized Official Name and Position | Adrienne J. Kelly (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2016921180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adrienne J. Kelly, Llc 629 Standish Rd Teaneck NJ 07666-1817 Ph: (201) 692-1180 | Adrienne J. Kelly, Llc 629 Standish Rd Teaneck NJ 07666-1817 Ph: (201) 692-1180 |
| NPI Number | 1326479429 |
|---|---|
| Provider Enumeration Date | 11/29/2013 |
| Last Update Date | 11/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326479429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC00020900 (New Jersey) | Primary |
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