Provider Demographics
NPI:1518411941
Name:SKERPAN, KELSEY A (MA, LMHC, ATR-BC)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:A
Last Name:SKERPAN
Suffix:
Gender:F
Credentials:MA, LMHC, ATR-BC
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:A
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:47 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:TRUMANSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14886-9530
Mailing Address - Country:US
Mailing Address - Phone:607-269-7579
Mailing Address - Fax:
Practice Address - Street 1:47 SOUTH ST
Practice Address - Street 2:
Practice Address - City:TRUMANSBURG
Practice Address - State:NY
Practice Address - Zip Code:14886-9530
Practice Address - Country:US
Practice Address - Phone:607-269-7579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-15
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10777101YM0800X
NY010120101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health