Most Relevant Information
Provider Data
| NPI Number: | 1003363458 |
| Provider Name: | MATTHEW P KELLY LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 9468 |
Most Important Dates
| Enumeration Date: | 09/01/2016 |
| Last Updated: | 09/01/2016 |
Provider Practice Location
14 JACKSON ST
NORTHAMPTON
MA
010601606
Practice Location Phone/Fax
| Phone: | 2155655671 |
| Fax: |
Provider Mailing Location
14 JACKSON ST
NORTHAMPTON
MA
010601606
Provider Mailing Phone/Fax
| Phone: | 2155655671 |
| Fax: |