Active NPIIndividual providerSole proprietor

Dr. Laurence M Kelly Jr., MED, PSYD

Psychologist, Clinical Child & Adolescent in Lawrence, Massachusetts

NPI Number1750436457
Practice location
11 Union St, Lawrence, MA 01840-1815
Fax
—
Last updated
September 28, 2011

Laurence Merrill Kelly is a Psychologist, Clinical Child & Adolescent based in Lawrence, MA. Laurence Merrill Kelly practices in Lawrence, MA and has the professional credentials of MED, PSYD. The NPI Number for Laurence Merrill Kelly is 1750436457 and holds a License No. 9422 (MA). The current practice location address for Laurence Merrill Kelly is 11 Union St, Lawrence, MA 01840-1815 and can be reached out via phone at 978-685-1337.

Provider Profile Details

NPI Number
1750436457
Provider Name
Laurence Merrill Kelly
Credential
MED, PSYD
Provider Entity Type
Individual
Gender
Male
Address
11 Union St, Lawrence, MA 01840-1815
Phone Number
978-685-1337
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
Yes
Provider Enumeration Date
January 24, 2007
Last Update Date
September 28, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Union St
Lawrence, MA 01840-1815
Zip
01840-1815
Phone Number
978-685-1337
Lawrence, MA 01840Get directions →

Provider Business Mailing Address Details

Address
81 Green St
Apt. 2
Reading, MA 01867-3210
City
Reading
State
MA
Zip
01867-3210
Phone Number
603-714-4771

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License State (2)
NH
Taxonomy (2)
Counselor, School · 101YS0200X
License Number (3)
9422
License State (3)
MA
Taxonomy (3)
Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Laurence M Kelly Jr., MED, PSYD?

The NPI number of Dr. Laurence M Kelly Jr., MED, PSYD is 1750436457. It was assigned on January 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Laurence M Kelly Jr., MED, PSYD?

Dr. Laurence M Kelly Jr., MED, PSYD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in MA under license number 9422.

Where does Dr. Laurence M Kelly Jr., MED, PSYD practice?

The practice location is 11 Union St, Lawrence, MA 01840-1815. The office can be reached at 978-685-1337 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750436457 directly on the NPPES registry website.

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