Doctor Name: | MS. KELLY JANE DOYLE |
NPI Number: | 1184635500 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCMHC |
License Number: | MHC106 |
Business Practice Address: | 494 Annaquatucket Rd North Kingstown, RI - 02852 |
Business Phone Number: | 4016677315 |
Business Fax Number: | 4013488255 |
Mailing Address: | 494 Annaquatucket Rd, NORTH KINGSTOWN |
State: | RI |
Postal Code: | 02852 |
Phone Number: | 4016677315 |
Fax Number: | 4013488255 |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 07/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MHC106 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |