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Contact Information

ANDREA L KELLY, M.A.
444 SOUTH UNION ST.
SUITE 230
BURLINGTON, VT05401
 Phone: 802-363-9567
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ANDREA L KELLY · (Female)

NPI # 1487935516
Status Active
Credentials M.A.
Entity Individual
Enumeration date 09/02/2011
Last updated 12/17/2023 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 047.0000608
  • VT License # 608
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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