Teresa Kelly's National Provider Identifier (NPI) Details
Teresa Kelly, LCSW-R
NPI: 1053522102
Enumeration Date: 2007-05-24
Last updated: 2021-02-26
Sole Proprietor: YES
Status: active
Postal Address: 48 13TH ST, LOCUST VALLEY, NY
Phone: 516-676-0705
Primary Practice Address: 48 13TH ST, LOCUST VALLEY, NY
Practice's phone: 516-676-0705