| Doctor Name: | MS. JUDITH M. KELLEY |
| NPI Number: | 1740337898 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LICSW, LADC1 |
| License Number: | 111003 |
| Business Practice Address: | 15 Davedon Dr East Falmouth, MA - 025365046 |
| Business Phone Number: | 5084574955 |
| Business Fax Number: | 5084574955 |
| Mailing Address: | P.o. Box 302, FALMOUTH |
| State: | MA |
| Postal Code: | 025410302 |
| Phone Number: | 5084574955 |
| Fax Number: | 5084574955 |
| NPI Enumeration Date: | 01/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 111003 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |