Doctor Name: | KELLY URBAN |
NPI Number: | 1326287145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 33841 |
Business Practice Address: | 6701 Seagate Dr Navarre, FL - 325667452 |
Business Phone Number: | 2282294125 |
Business Fax Number: | |
Mailing Address: | 6701 Seagate Dr, NAVARRE |
State: | FL |
Postal Code: | 325667452 |
Phone Number: | 2282294125 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2009 |
NPI Last Update Date: | 05/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 33841 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |