| Doctor Name: | KELLI QUIGLEY |
| NPI Number: | 1396121075 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 113754 |
| Business Practice Address: | 123 Dwight Rd # E2 Longmeadow, MA - 011061993 |
| Business Phone Number: | 4135406047 |
| Business Fax Number: | |
| Mailing Address: | 8 Halon Ter, EAST LONGMEADOW |
| State: | MA |
| Postal Code: | 010283201 |
| Phone Number: | 4135406047 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2015 |
| NPI Last Update Date: | 03/30/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 113754 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |