| Doctor Name: | MRS. KELLY ANN MONTEVERDE |
| NPI Number: | 1013183235 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.M.H.C |
| License Number: | 7458 |
| Business Practice Address: | 76 Summer St 200 Fitchburg, MA - 014205783 |
| Business Phone Number: | 9783459400 |
| Business Fax Number: | |
| Mailing Address: | 76 Summer St, 200 FITCHBURG |
| State: | MA |
| Postal Code: | 014205783 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/07/2008 |
| NPI Last Update Date: | 06/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 7458 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |