Provider Demographics
NPI:1780978916
Name:CHOMES, KELLY ANN (MA)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:ANN
Last Name:CHOMES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 THAYER POND DR
Mailing Address - Street 2:UNIT 14
Mailing Address - City:NORTH OXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01537-1131
Mailing Address - Country:US
Mailing Address - Phone:508-277-5186
Mailing Address - Fax:
Practice Address - Street 1:44 FRONT ST
Practice Address - Street 2:SUITE 490
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1733
Practice Address - Country:US
Practice Address - Phone:508-799-2934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor