Doctor Name: | KELLY R HADLEY |
NPI Number: | 1023236544 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | LW00005445 |
Business Practice Address: | 3501 Nw Lowell St Suite 201 Silverdale, WA - 983837851 |
Business Phone Number: | 3606988980 |
Business Fax Number: | 3606988950 |
Mailing Address: | 3501 Nw Lowell St, Suite 201 SILVERDALE |
State: | WA |
Postal Code: | 983837851 |
Phone Number: | 3606988980 |
Fax Number: | 3606988950 |
NPI Enumeration Date: | 04/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LW00005445 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |