Individual provider · Type 1 NPI
Kelly Siderio
Mental Health Counselor · Bala Cynwyd, PA
NPI number
1144928011
Active
Practice location
305 Penbree Ter
Bala Cynwyd, PA 19004-2333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1144928011
Kelly Siderio's National Provider Identifier is 1144928011, issued on Feb 21, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bala Cynwyd, PA. The record was last updated on Feb 21, 2023.