Provider Demographics
NPI:1558181743
Name:LETTER, KELLY JANE (MA, CMHC)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:JANE
Last Name:LETTER
Suffix:
Gender:F
Credentials:MA, CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9801 GERMANTOWN PIKE APT 708
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-1121
Mailing Address - Country:US
Mailing Address - Phone:215-356-1877
Mailing Address - Fax:
Practice Address - Street 1:770 E MARKET ST STE 220
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-4804
Practice Address - Country:US
Practice Address - Phone:215-356-1877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor