| Doctor Name: | JOSEPH P. SKELLY |
| NPI Number: | 1417901133 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., L.M.H.C. |
| License Number: | MH0003140 |
| Business Practice Address: | 151 Mary Esther Blvd Suite 201 Mary Esther, FL - 325691972 |
| Business Phone Number: | 8508626030 |
| Business Fax Number: | 8508626030 |
| Mailing Address: | 151 Mary Esther Blvd, Suite 201 MARY ESTHER |
| State: | FL |
| Postal Code: | 325691972 |
| Phone Number: | 8508626030 |
| Fax Number: | 8508626030 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH0003140 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |