| Samantha Kellar Lpc Llc | |
|
49 Ballantine Rd Middletown NJ 07748-3000 | |
| (973) 879-1024 | |
| Not Available |
| Full Name | Samantha Kellar Lpc Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 49 Ballantine Rd, Middletown, New Jersey |
| Authorized Official Name and Position | Samantha Kellar (PRESIDENT) |
| Authorized Official Contact | 9738791024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Kellar Lpc Llc 49 Ballantine Rd Middletown NJ 07748-3000 Ph: (973) 879-1024 | Samantha Kellar Lpc Llc 49 Ballantine Rd Middletown NJ 07748-3000 Ph: (973) 879-1024 |
| NPI Number | 1568998227 |
|---|---|
| Provider Enumeration Date | 05/02/2017 |
| Last Update Date | 05/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568998227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 37PC00460500 (New Jersey) | Primary |
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