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General NPI Number Information
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NPI Number | 1851458475
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Entity Type | Organization
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Legal Business Name | KEYSTONE COUNSELING SERVICES, PC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 593 BETHLEHEM PIKE SUITE 8
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City | MONTGOMERYVILLE
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State | PA
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Zip | 18936-9709
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Country | US
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Telephone | 215-997-7770
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Fax | 215-997-7515
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Provider Business Mailing Address
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Address Line | 593 BETHLEHEM PIKE SUITE 8
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City | MONTGOMERYVILLE
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State | PA
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Zip | 18936-9709
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Country | US
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Telephone | 215-997-7770
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Fax | 215-997-7515
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM J KELLY
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Credential | PH,D.
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Telephone | 610-282-2575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS-002722-L
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License Number State | PA
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